Return of Organization Exempt From Income Tax Form Under section 501 (c), 527, or 4947 ( a)(1) of the Internal Revenue Code ( except private

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1 lefile GRAPHIC print - DO NOT PROCESS I As Filed Data - I DLN: OMB No Return of Organization Exempt From Income Tax Form Under section 501 (c), 527, or 4947 ( a)(1) of the Internal Revenue Code ( except private foundations) Department of the Treasury Do not enter social security numbers on this form as it may be made public Internal Revenue Service 1-Information about Form 990 and its instructions is at A For the 2014 calendar year, or tax year beginning , and ending C Name of organization B Check if applicable D Employer identification number ADVENTIST HEALTHCARE INC F Address change F Name change Doing business as 1 Initial return Final fl return/terminated Number and street (or P 0 box if mail is not delivered to street address) Room/suite 820 WEST DIAMOND AVE NO 600 E Telephone number (301) Amended return City or town, state or province, country, and ZIP or foreign postal code GAITHERSBURG, MD G Gross receipts $ 735,337,056 1 Application pending F Name and address of principal officer H(a) Is this a group return for TERRY FORDE 820 WEST DIAMOND AVE NO 600 subordinates? (-Yes No GAITHERSBURG,MD H(b) Are all subordinates 1Yes(-No included? I Tax-exempt status F 501(c)(3) 1 501(c) ( ) I (insert no ) (- 4947(a)(1) or F_ 527 If "No," attach a list (see instructions) J Website :1- WWWADVENTISTHEALTHCARE COM H(c) Group exemption number K Form of organization F Corporation 1 Trust F_ Association (- Other 0- L Year of formation 1983 M State of legal domicile MD w Summary 1 Briefly describe the organization's mission or most significant activities WE DEMONSTRATE GOD'S CARE BY IMPROVING THE HEALTH OF PEOPLE AND COMMUNITIES THROUGH A (SEE SCH 0) MINISTRY OF PHYSICAL MENTAL AND SPIRITUAL HEALING 2 Check this box Of- if the organization discontinued its operations or disposed of more than 25% of its net assets 3 Number of voting members of the governing body (Part VI, line 1a) of :2 4 Number of independent voting members of the governing body (Part VI, line 1 b) Total number of individuals employed in calendar year 2014 (Part V, line 2a). 5 6,305 6 Total number of volunteers (estimate if necessary) 6 1,201 7aTotal unrelated business revenue from Part VIII, column (C), line a 2,446,041 b Net unrelated business taxable income from Form 990-T, line b -121,602 Prior Year Current Year 8 Contributions and grants (Part VIII, line 1h). 3,810,929 3,024,743 9 Program service revenue (Part VIII, line 2g). 585,255, ,223,129 N 10 Investment income (Part VIII, column (A), lines 3, 4, and 7d... 3,759,105 4,274,212 LLJ 11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 1,504, , Total revenue-add lines 8 through 11 (must equal Part VIII, column (A), line 12) ,329, ,079, Grants and similar amounts paid (Part IX, column (A), lines 1-3).. 1,608,962 1,860, Benefits paid to or for members (Part IX, column (A), line 4) Salaries, other compensation, employee benefits (Part IX, column (A), lines 5-10) 287,531, ,740,317 16a Professional fundraising fees (Part IX, column (A), line 11e) 0 0 b Total fundraising expenses (Part IX, column (D), line 25) 0-1,024, Other expenses (Part IX, column (A), lines 11a-11d, 11f-24e) ,296, ,433, Total expenses Add lines (must equal Part IX, column (A), line 25) 579,437, ,033, Revenue less expenses Subtract line 18 from line ,892,878 31,045,266 Beginning of Current Year End of Year -A 20 Total assets (Part X, line 16) ,518, ,448,643 M %TS 21 Total liabilities (Part X, line 26) ,399, ,053,129 ap ZLL 22 Net assets or fund balances Subtract line 21 from line 20 lijaw Signature Block Under penalties of perjury, I declare that I have examined this return, includin my knowledge and belief, it is true, correct, and complete Declaration of preps preparer has any knowledge Sign Signature of officer Here JAMES G LEE EXE VICE PRESIDENT AND CFO Type or print name and title Print/Type preparer's name MICHELE MELCHIOR Paid Firm's name 1- GRANT THORNTON LLP Pre pare r Use Only May the IRS discuss this Firm's address -201 S COLLEGE STREET CHARLOTTE, NC Preparers signature MICHELE MELCHIOR return with the preparer shown above? (see instructs For Paperwork Reduction Act Notice, see the separate instructions.

2 Form 990 (2014) Page 2 Statement of Program Service Accomplishments Check if Schedule 0 contains a response or note to any line in this Part III.F 1 Briefly describe the organization's mission WE DEMONSTRATE GOD'S CARE BY IMPROVING THE HEALTH OF PEOPLE AND COMMUNITIES THROUGH A MINISTRY OF PHYSICAL, MENTAL, AND SPIRITUAL HEALING 2 Did the organization undertake any significant program services during the year which were not listed on the prior Form 990 or 990-EZ? fl Yes F No If "Yes," describe these new services on Schedule 0 3 Did the organization cease conducting, or make significant changes in how it conducts, any program services? F Yes F No If "Yes," describe these changes on Schedule 0 4 Describe the organization's program service accomplishments for each of its three largest program services, as measured by expenses Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported 4a (Code ) (Expenses $ 481,523,422 including grants of $ 1,860,645 ) (Revenue $ 567,255,978 THE MISSION OF ADVENTIST HEALTHCARE IS TO "DEMONSTRATE GOD'S CARE BY IMPROVING THE HEALTH OF PEOPLE AND COMMUNITIES THROUGH A MINISTRY OF PHYSICAL, MENTAL AND SPIRITUAL HEALING " IN MEETING THIS MISSION AND IN COMPLIANCE WITH STATE AND FEDERAL LAWS, WE PROVIDE CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY COMPASSION IS REFLECTED IN OUR MISSION AND OUR ORGANIZATION'S COMMITMENT TO PROVIDING CONSISTENTLY HIGH LEVELS OF CHARITY AND UNCOMPENSATED CARE TO MEET THE NEEDS OF OUR COMMUNITIES, ADVENTIST HEALTHCARE CONTINUES TO INNOVATE AND EXPAND THE RANGE OF OUR SERVICES TO BUILD ON THE STRONG FOUNDATION WE HAVE LAID FOR A HEALTHY, ENGAGED COMMUNITY WE RESPOND PROACTIVELY TO VARIOUS HEALTH CARE NEEDS WITH A CONTINUUM OF EXCELLENT PROGRAMS AND WIDE-RANGING SERVICES TO MEET DIVERSE POPULATIONS AS WE STRIVE TO 1 MAINTAIN AND GROW CURRENT SERVICES2 EXPAND HEALTH SERVICES/INCREASE ACCESS TO CARE3 PROMOTE HEALTH EQUITY AND WELLNESSI MAINTAIN AND GROW CURRENT SERVICES WE CONTINUE TO GROW PROGRAMS AND SERVICES IN THE AREAS OF ONCOLOGY, HEART/CARDIAC, REHABILITATION, BEHAVIORAL HEALTH AND OTHER HEALTH CARE SERVICES SUPPORTING COMMUNITY-BASED ORGANIZATIONS ALIGNED WITH OUR MISSION THE BENEFIT TO THE COMMUNITY WILL BE IN SUSTAINING AND GROWING QUALITY PROGRAMS THAT PROMOTE HEALTHY CHILDREN, ENCOURAGE HEALTHY LIFESTYLES FOR SENIORS, FOSTER HEALTHY FAMILIES, AND IN A HOLISTIC WAY, BUILD HEALTHIER COMMUNITIES ENHANCEMENTS TO OUR COMPREHENSIVE INPATIENT AND OUTPATIENT CANCER CARE SERVICES AT ADVENTIST HEALTHCARE WASHINGTON ADVENTIST HOSPITAL AND ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER (FORMERLY KNOWN AS SHADY GROVE ADVENTIST HOSPITAL) ENSURE THAT WE CONTINUE TO PROVIDE THE LATEST DIAGNOSTIC AND TREATMENT SERVICES THAT ARE DELIVERED WITH COMPASSION AND A DEEP UNDERSTANDING OF THE UNIQUE DEMANDS OF CANCER BOTH INPATIENT AND OUTPATIENT SERVICES ARE AVAILABLE TO ACCOMMODATE A RANGE OF PATIENT NEEDS AND PREFERENCES WE CARE FOR THE WHOLE PATIENT BY OFFERING EDUCATIONAL PROGRAMS AND SPECIAL SERVICES SUCH AS NUTRITION COUNSELING, STRESS MANAGEMENT, FITNESS PROGRAMS, SUPPORT GROUPS AND SMOKING CESSATION PROGRAMS THE SHADY GROVE AREA FEATURES THE AQUILINO CANCER CENTER, MONTGOMERY COUNTY, MARYLAND'S FIRST FREE-STANDING, COMPREHENSIVE CANCER CENTER MULTIDISCIPLINARY CANCER CARE TEAM MEMBERS WORK TOGETHER IN ONE FACILITY, SO PATIENTS RECEIVE SEAMLESS, COORDINATED CARE OUR PHYSICIANS CAN ALSO COLLABORATE WITH SCIENTISTS AT THE NEARBY SHADY GROVE LIFE SCIENCES CENTER AND GREAT SENECA SCIENCE CORRIDOR, WHICH MEANS PATIENTS GET ACCESS TO CLINICAL TRIALS AND CARE BASED ON THE LATEST MEDICAL RESEARCH IN 2014, THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER (COC) RECOGNIZED SHADY GROVE'S CANCER PROGRAM AT THE HIGHEST LEVEL, GRANTING IT ACCREDITATION WITH COMMENDATION SHADY GROVE'S CANCER PROGRAM IS ONE OF ONLY 1,500 IN THE NATION TO HOLD COC ACCREDITATION, HIGHLIGHTING THE EXCELLENCE AND QUALITY OF CANCER SERVICES IN THE EASTERN PART OF MONTGOMERY COUNTY, ADVENTIST HEALTHCARE OPENED THE WHITE OAK BREAST CENTER IN 2014 TO HELP MEET THE COMMUNITY'S NEEDS FROM STATE-OF-THE-ART IMAGING SERVICES, SUCH AS 3D MAMMOGRAPHY, TO ONE-ON-ONE CONSULTATIONS WITH A DEDICATED BREAST SURGEON OR BREAST CERTIFIED RADIOLOGIST, TO RESOURCE AND SUPPORT FOLLOWING A BREAST CANCER DIAGNOSIS, HEALTH CARE NEEDS ARE MET INSIDE ONE CONVENIENT AND COMPREHENSIVE CENTER THIS CENTER WILL BE NEAR THE LOCATION OF THE RELOCATED WASHINGTON ADVENTIST HOSPITAL, WHICH IS CURRENTLY AWAITING STATE APPROVAL AT ITS CURRENT LOCATION IN TAKOMA PARK, MARYLAND, WASHINGTON ADVENTIST HOSPITAL HAS BEEN PROVIDING FULL-SERVICE MEDICAL AND SURGICAL CARE TO THE RESIDENTS OF EASTERN MONTGOMERY COUNTY, WESTERN PRINCE GEORGE'S COUNTY AND WASHINGTON, D C FOR MORE THAN 100 YEARS WHILE WASHINGTON ADVENTIST'S HISTORY REFLECTS THE SPECIAL CARE IT HAS PROVIDED FOR GENERATIONS OF FAMILIES, OF SPECIAL NOTE IS THE HOSPITAL'S CARDIAC SERVICES THE HOSPITAL WAS THE FIRST IN THE GREATER D C AREA TO PERFORM NUMEROUS CARDIAC PROCEDURES DATING FROM ITS FIRST HEART PROCEDURE IN 1962, INCLUDING MITRAL VALVULOPLASTY AND A NUMBER OF SOPHISTICATED TYPES OF ECHOCARDIOGRAPHY NOT ONLY DOES WASHINGTON ADVENTIST PROVIDE SUBSTANTIAL CARDIAC SURGERY AND PCI PROCEDURES, BUT IT ALSO IS THE BACKUP FOR MULTIPLE HOSPITALS WITH PRIMARY AND NONPRIMARY, ELECTIVE PCI PROGRAMS THAT REQUIRE AN AFFILIATION WITH A CARDIAC SURGERY PROGRAM IN 2014, THE HOSPITAL RECEIVED THE AMERICAN HEART ASSOCIATION'S MISSION LIFELINE BRONZE PERFORMANCE ACHIEVEMENT AWARDS THIS AWARD RECOGNIZES THE HOSPITALS' COMMITMENT AND SUCCESS IN IMPLEMENTING A HIGHER STANDARD OF CARE FOR PATIENTS EXPERIENCING THE DEADLIEST TYPE OF HEART ATTACK KNOWN AS STEMI (ST ELEVATION MYOCARDIAL INFARCTION) SHADY GROVE MEDICAL CENTER ALSO RECEIVED THIS HONOR IN 2014 IN ADDITION TO PROVIDING THE COMMUNITY WITH HIGHLY REGARDED ACUTE-CARE SERVICES, ADVENTIST HEALTHCARE ESTABLISHED THE FIRST BEHAVIORAL HEALTH UNIT IN MONTGOMERY COUNTY IN 1949, AND REMAINS ONE OF THE LEADING PROVIDERS OF MENTAL HEALTHCARE IN THE WASHINGTON, DC METROPOLITAN AREA SINCE ITS INCEPTION, ADVENTIST HEALTHCARE BEHAVIORAL HEALTH & WELLNESS SERVICES (FORMERLY KNOWN AS ADVENTIST BEHAVIORAL HEALTH) HAS EXPANDED TO INCLUDE SEVERAL TREATMENT CENTERS ACROSS MONTGOMERY COUNTY AS WELL AS THE EASTERN SHORE OF MARYLAND IT PROVIDES A WIDE-RANGING SPECTRUM OF SERVICES AND TREATMENT OPTIONS FOR CHILDREN, ADOLESCENTS, ADULTS AND SENIORS SERVICES ARE PROVIDED IN A VARIETY OF SETTINGS INCLUDING HOSPITAL-BASED PROGRAMS, RESIDENTIAL TREATMENT CENTERS, SCHOOL PROGRAMS, RESIDENTIAL GROUP HOMES, OUTPATIENT SERVICES AND COMMUNITY-BASED SERVICES OUR FACILITIES OFFER A HIGHLY-SKILLED, MULTIDISCIPLINARY TEAM OF PSYCHIATRISTS, SOCIAL WORKERS, CASE MANAGERS, PSYCHIATRIC NURSES, EXPRESSIVE THERAPISTS AND CHAPLAINS WHO PROVIDE COMPASSIONATE BEHAVIORAL HEALTH CARE HERE IS A SNAPSHOT OF OUR ORGANIZATION IN 2014 > 1 ACCOUNTABLE CARE ORGANIZATION, THE MID- ATLANTIC PRIMARY CARE ACO, MANAGED BY ADVENTIST HEALTHCARE,> 5 HOSPITALS, THREE ACUTE CARE AND TWO SPECIALTY,> 2,279 PHYSICIANS/ MEDICAL STAFF MEMBERS,> 6,200 EMPLOYEES IN MARYLAND (APPROXIMATE),> 6,058 COVERED LIVES/PATIENT CENTERED MEDICAL HOME,> 7,030 NEWBORNS,> 26,399 SURGERIES,> 46,749 ACUTE AND SPECIALTY ADMISSIONS,> 74,795 HOME HEALTH VISITS,> 103,170 VOLUNTEER HOURS,> 132,749 HEALTH AND WELLNESS ENCOUNTERS,> 174,354 EMERGENCY VISITS,> 319,016 OUTPATIENT VISITS,> 781,000 OVERALL ENCOUNTERS (APPROX ),> $77,513,838 COMMUNITY BENEFIT2 EXPAND HEALTH SERVICES/INCREASE ACCESS TO CAREADVENTIST HEALTHCARE JOINS WITH SEVERAL ORGANIZATIONS IN ORDER TO BRING FREE SERVICES TO COMMUNITIES IN NEED WITH A SPECIAL FOCUS ON WOMEN AND CHILDREN, LOW-INCOME, UNINSURED, AND MINORITY POPULATIONS ADVENTIST HEALTHCARE IS DEDICATED TO PROGRAMS THAT HELP BUILD HEALTHY FAMILIES AND COMMUNITIES ADVENTIST HEALTHCARE PARTNERS WITH LOCAL SAFETY NET CLINICS THAT OFFER PRIMARY CARE, OR A MEDICAL HOME, TO UNINSURED RESIDENTS OF MONTGOMERY COUNTY THROUGH THESE PARTNERSHIPS, ADVENTIST HEALTHCARE HELPS ENSURE THAT UNINSURED PATIENTS HAVE COORDINATED CARE BETWEEN THE CLINIC THAT SERVES AS THEIR MEDICAL HOME AND THE HOSPITAL WHERE THEY RECEIVE CARE AND EDUCATIONAL PROGRAMS THE PARTNERSHIPS WE HAVE DEVELOPED WITH LOCAL SAFETY NET CLINICS, SUCH AS MERCY HEALTH CLINIC, COMMUNITY CLINIC, INC, MOBILE MEDICAL CARE, INC, AND MARY'S CENTER, IMPROVE ACCESS TO PRIMARY CARE SERVICES FOR UNINSURED AND UNDER-INSURED RESIDENTS ADVENTIST HEALTHCARE'S SUPPORT INCLUDES BUT IS NOT LIMITED TO PROVIDING LAB WORK, X-RAY SERVICES AND FINANCIAL SUPPORT OF CLINICAL OPERATIONS TO SERVE THE UNINSURED OR UNDER-INSURED POPULATION OF MONTGOMERY COUNTY THIS ALSO HELPS TO DECREASE INAPPROPRIATE EMERGENCY DEPARTMENT UTILIZATION BY THIS PORTION OF THE POPULATION THESE CLINICS HAVE SERVED AS A VITAL HEALTH SAFETY NET TO PROVIDE IMPORTANT PRIMARY AND PREVENTIVE HEALTH SERVICES TO OVER 20,000 MEN, WOMEN AND CHILDREN IN NEED MERCY HEALTH CLINIC IN GAITHERSBURG HAS BENEFITED FROM OUR SERVICES INCLUDING LABORATORY SUPPORT, BLOOD TESTS AND OTHER DIAGNOSTIC SERVICES IN THE LONG BRANCH SECTION OF SILVER SPRING, OUR PARTNERSHIP WITH MARY'S CENTER PROVIDES A FULL RANGE OF SERVICES FROM PRENATAL CARE TO PEDIATRIC/ADOLESCENT HEALTH SERVICES TO WOMEN'S SERVICES TO SOCIAL-SERVICES PROGRAMS OUR WORK WITH MOBILE MED ENABLES REGULAR MEDICAL CARE, SUCH AS ROUTINE PHYSICALS, FOR UNINSURED AND LOW-INCOME RESIDENTS 4b (Code ) ( Expenses $ 10,775,997 including grants of $ (Revenue $ 46,967,151 ) ADVENTIST HEALTHCARE BEHAVIORAL HEALTH & WELLNESS SERVICES ADVENTIST HEALTHCARE BEHAVIORAL HEALTH & WELLNESS SERVICES (BH&WS), FORMERLY KNOWN AS ADVENTIST BEHAVIORAL HEALTH, IS A COMPREHENSIVE NETWORK OF MENTAL HEALTH FACILITIES PROVIDING CARE TO INDIVIDUALS WITH MENTAL ILLNESS AND SUBSTANCE ABUSE CHALLENGES WITH LOCATIONS IN MONTGOMERY COUNTY, MARYLAND AND ON THE EASTERN SHORE OF MARYLAND, BH&WS OFFERS A BROAD RANGE OF SERVICES SUCH AS ACUTE CARE, RESIDENTIAL TREATMENT, SPECIAL EDUCATION AND GENERAL EDUCATION PROGRAMS, CHEMICAL DEPENDENCY PROGRAMS, PARTIAL HOSPITALIZATION PROGRAMS, INTENSIVE OUTPATIENT SERVICES, AND COMMUNITY-BASED RESIDENTIAL SERVICES IN 2014, BH&WS PROVIDED $850,928 IN UNCOMPENSATED MENTAL HEALTH CARE ACROSS ITS TWO MAIN CAMPUSES BH&WS FACILITIES OFFER A TOTAL OF 161 ACUTE CARE BEDS, 99 RESIDENTIAL TREATMENT CENTER BEDS, 32 GROUP HOME BEDS AND A FULL CONTINUUM OF OUTPATIENT SERVICES BH&WS CARED FOR APPROXIMATELY 6,800 PATIENTS, CLIENTS AND RESIDENTS ACROSS ITS ENTITIES IN 2014 BH&WS ROCKVILLE CAMPUS THE BH&WS ROCKVILLE CAMPUS IS A NOT- FOR-PROFIT, JOINT COMMISSION ACCREDITED, 107-BED ACUTE PSYCHIATRIC TREATMENT FACILITY LOCATED IN MONTGOMERY COUNTY COUPLED WITH AN ADDITIONAL 82-BED RESIDENTIAL TREATMENT CENTER (RTC) FOR ADOLESCENTS, BH&WS IS THE LARGEST PROVIDER OF MENTAL HEALTH SERVICES IN MONTGOMERY COUNTY THE ROCKVILLE CAMPUS ALSO PROVIDES OUTPATIENT CHEMICAL DEPENDENCY SERVICES FOR ADOLESCENTS AND ADULTS, OPERATES A PARTIAL HOSPITALIZATION PROGRAM FOR ADOLESCENTS, AND AN OUTPATIENT WELLNESS CLINIC BH&WS' ACUTE SERVICES INCLUDE THE SPECIALIZED MAGNOLIA UNIT, A 10-BED ACUTE INPATIENT UNIT DEDICATED TO SERVING GERIATRIC ADULTS THE UNIT PROVIDES CRITICAL STABILIZATION AND SHORT-TERM INPATIENT TREATMENT FOR OLDER ADULTS WHO EXPERIENCE SUDDEN LIFE CHANGES AND STRESSORS THAT TRIGGER DEPRESSION, ANXIETY AND OTHER CHALLENGES THAT IMPACT THEIR DAILY ACTIVITIES THE MAGNOLIA UNIT IS THE ONLY ONE OF ITS KIND IN MONTGOMERY COUNTY THE RIDGE SCHOOL OF MONTGOMERY COUNTY, A SPECIAL AND GENERAL EDUCATION SCHOOL APPROVED BY THE MARYLAND STATE DEPARTMENT OF EDUCATION, IS LOCATED AT THE BH&WS ROCKVILLE CAMPUS AND SERVES ADOLESCENTS FROM MARYLAND AND WASHINGTON, D C BH&WS EASTERN SHORE CAMPUS THE BH&WS EASTERN SHORE CAMPUS IS THE REGION'S ONLY ACUTE CARE AND RESIDENTIAL MENTAL HEALTH RESOURCE FOR CHILDREN AND ADOLESCENTS THE FACILITY OFFERS 15 ACUTE CARE BEDS AND 59 RTC BEDS THE RIDGE SCHOOL OF THE EASTERN SHORE IS A SPECIAL AND GENERAL EDUCATION SCHOOL FOR STUDENTS IN GRADES THREE TO 12 THE SCHOOL SERVES RESIDENTS OF THE EASTERN SHORE RESIDENTIAL TREATMENT CENTER AS WELL AS DAY STUDENTS WHO LIVE IN THE LOCAL COMMUNITY THE BEHAVIORAL HEALTH UNIT AT WASHINGTON ADVENTIST HOSPITAL THE BEHAVIORAL HEALTH UNIT OFFERS 40 ADULT ACUTE CARE BEDS IN ADDITION TO PARTIAL HOSPITALIZATION, AND INTENSIVE OUTPATIENT PROGRAMS AT ITS TAKOMA PARK, MARYLAND LOCATION COMMUNITY-BASED RESIDENTIAL SERVICES BH&WS' COMMUNITY-BASED RESIDENTIAL SERVICES INCLUDES TWO HOMES FOR ADOLESCENTS AND ONE FOR ADULTS THE ADOLESCENT HOMES, OR COTTAGES, OFFER ADOLESCENTS 13 TO 17 YEARS OF AGE A SAFE AND THERAPEUTIC RESIDENTIAL ENVIRONMENT IN WHICH TO SUPPORT THEIR TRANSITION BACK TO THEIR FAMILIES, THE COMMUNITY, AND, IN SOME CASES, INDEPENDENT LIVING THE GROUP HOMES ARE LOCATED IN MONTGOMERY COUNTY COMMUNITIES THE MANOR IS AN ASSISTED LIVING FACILITY IN TAKOMA PARK FOR INDIVIDUALS WITH CHRONIC AND SEVERE MENTAL ILLNESS WHO ARE UNABLE TO LIVE INDEPENDENTLY THE FACILITY PROVIDES A SAFE AND SUPPORTIVE RESIDENTIAL ENVIRONMENT AS AN ALTERNATIVE TO LONG-TERM PSYCHIATRIC HOSPITALIZATION COMMUNITY SERVICE BH&WS IS COMMITTED TO SERVING AS A MENTAL HEALTH RESOURCE TO FAMILIES AND BEHAVIORAL HEALTH SPECIALISTS IN THE COMMUNITIES IT SERVES THE ORGANIZATION HAS DEDICATED SIGNIFICANT RESOURCES TO PROVIDING CONTINUING EDUCATION SYMPOSIUMS FOR CLINICIANS AS WELL AS FREE EDUCATIONAL WORKSHOPS FOR CONSUMERS BH&WS AND ITS EMPLOYEES ALSO SPONSOR AND SUPPORT COMMUNITY ORGANIZATIONS SUCH AS THE MENTAL HEALTH ASSOCIATION OF MONTGOMERY COUNTY, THE AMERICAN FOUNDATION FOR SUICIDE PREVENTION AND THE NATIONAL ALLIANCE ON MENTAL ILLNESS 4c (Code ) (Expenses $ including grants of $ ) (Revenue $ 4d Other program services (Describe in Schedule 0 ) (Expenses $ including grants of $ ) (Revenue $ 4e Total program service expenses 1-492,299,419 Form 990 (2014)

3 Form 990 (2014) Page 3 Checklist of Required Schedules 1 Is the organization described in section 501(c)(3) or4947(a)(1) (other than a private foundation)? If "Yes," Yes complete Schedule As Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)?. 2 Yes 3 Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to No candidates for public office? If "Yes,"complete Schedule C, Part Is Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) Yes election in effect during the tax year? If "Yes, "complete Schedule C, Part II Is the organization a section 501 (c)(4), 501 (c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, Part HIS Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes,"complete Schedule D, Part I Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures? If "Yes,"complete Schedule D, Part IIS. 7 No 8 Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part Did the organization report an amount in Part X, line 21 for escrow or custodial account liability, serve as a custodian for amounts not listed in Part X, or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IV No 10 Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, 10 No permanent endowments, or quasi-endowments? If "Yes,"complete Schedule D, Part V. 11 If the organization's answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable a Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete Schedule D, Part VI lla b Did the organization report an amount for investments-other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIS llb c Did the organization report an amount for investments-program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII llc d Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IX' lid e Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part X I f Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes,"complete Schedule D, Part X a Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete Schedule D, Parts XI and XII a N o b Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional 13 Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," completeschedulee.. lle I llf 12b Yes Yes Yes Yes Y es Yes No N o N o N o No No 13 No 14a Did the organization maintain an office, employees, or agents outside of the United States?. 14a No b Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV b No 15 Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If "Yes," complete Schedule F, Parts II and IV 15 No 16 Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If "Yes," complete Schedule F, Parts III and IV.. 16 No 17 Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part 17 No IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, PartI (see instructions) Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II No 19 Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If 19 No "Yes," complete Schedule G, Part III a Did the organization operate one or more hospital facilities? If "Yes,"complete Schedu le H.. 20a Yes b If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? 20b Yes Form 990 (2014)

4 Form 990 (2014) Page 4 Checklist of Required Schedules (continued) 21 Did the organization report more than $5,000 of grants or other assistance to any domestic organization or 21 Yes domestic government on Part IX, column (A), line 1? If "Yes," complete Schedule I, Parts I and II.. 22 Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part 22 IX, column (A), line 2? If "Yes," complete Schedule I, Parts I and III S No 23 Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," 23 complete Schedule J IN 24a Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If"Yes," answer lines 24b through 24d and complete Schedule K. If "No,"go to line 25a a Yes b Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception? c Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds?. 24c d Did the organization act as an on behalf of issuer for bonds outstanding at any time during the year?. 24d No 25a Section 501(c )( 3), 501 ( c)(4), and 501 ( c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, PartI a No b Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ? If 25b No "Yes," complete Schedule L, Part I Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? 26 No If "Yes," complete Schedule L, Part II Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family 27 No member of any of these persons? If "Yes," complete Schedule L, Part III ID 28 Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions) a A current or former officer, director, trustee, or key employee? If "Yes,"complete Schedule L, Part IV a Yes b A family member of a current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV b No c A n entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV... 28c No 29 Did the organization receive more than $25,000 in non-cash contributions? If "Yes,"completeScheduleM 29 I I No 30 Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M No 31 Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes, " complete Schedule N, Part II g2 N 33 Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections and ? If "Yes," complete Schedule R, PartI c^ 33 Yes 34 Was the organization related to any tax-exempt or taxable entity? If "Yes,"complete Schedule R, Part II, III, oriv, and Part V, line l a Did the organization have a controlled entity within the meaning of section 512(b)(13)7 b If'Yes'to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512 (b)(13 )? If "Yes,"complete Schedule R, Part V, line Section 501(c )( 3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line IS 1 36 No 37 Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VI Did the organization complete Schedule 0 and provide explanations in Schedule 0 for Part VI, lines 1 lb and 19? Note. All Form 990 filers are required to complete Schedule b 35a 35b Yes Yes Yes Yes Yes N o No N o No Form 990 (2014)

5 Form 990 (2014) Page 5 Statements Regarding Other IRS Filings and Tax Compliance MEW- Check if Schedule 0 contains a response or note to any line in this Part V (- la Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable. la 749 b Enter the number of Forms W-2G included in line la Enter-0- if not applicable lb 0 Yes No c Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners?.. 1c Yes 2a Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements, filed for the calendar year ending with or within the year covered by this return a 6,305 b If at least one is reported on line 2a, did the organization file all required federal employment tax returns? Note. If the sum of lines la and 2a is greater than 250, you may be required to e-file (see instructions) 2b Yes 3a Did the organization have unrelated business gross income of $ 1,000 or more during the year?.. 3a Yes b If"Yes," has it filed a Form 990-T for this year? If "No"to line 3b, provide an explanation in Schedule 0.. 3b Yes 4a At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? a No b If "Yes," enter the name of the foreign country 0- See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBA R) 5a Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? 5a N o b Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction? 5b N o c If "Yes," to line 5a or 5b, did the organization file Form 8886-T? 5c 6a Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?.. 6a N o b If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?. 6b 7 Organizations that may receive deductible contributions under section 170(c). a Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?. 7a N o b If "Yes," did the organization notify the donor of the value of the goods or services provided?.. 7b c Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form c N o d If "Yes," indicate the number of Forms 8282 filed during the year 7d e Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?. 7e N o f Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? 7f N o g If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?. 7g h If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?. 7h 8 Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year?. 8 9a Did the sponsoring organization make any taxable distributions under section 4966?.. 9a b Did the sponsoring organization make a distribution to a donor, donor advisor, or related person? 9b 10 Section 501(c )( 7) organizations. Enter a Initiation fees and capital contributions included on Part VIII, line a b Gross receipts, included on Form 990, Part VIII, line 12, for public use of club 10b facilities 11 Section 501(c )( 12) organizations. Enter a Gross income from members or shareholders a b Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them ) b 12a Section 4947( a)(1) non -exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041? 12a b If "Yes," enter the amount of tax-exempt interest received or accrued during the year b 13 Section 501(c )( 29) qualified nonprofit health insurance issuers. a Is the organization licensed to issue qualified health plans in more than one state? Note. See the instructions for additional information the organization must report on Schedule 0 13a b Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans 13b c Enter the amount of reserves on hand 13c 14a Did the organization receive any payments for indoor tanning services during the tax year?.. b If "Yes," has it filed a Form 720 to report these payments? If "No,"provide an explanation in Schedule 0 14a N o 14b Form 990 (2014)

6 Form 990 (2014) Page 6 Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 1Ob below, describe the circumstances, processes, or changes in Schedule 0. See instructions. Check if Schedule 0 contains a response or note to any line in this Part VI.F Section A. la Governing Body and Management Enter the number of voting members of the governing body at the end of the tax year If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule 0 la 17 b Enter the number of voting members included in line la, above, who are independent lb 15 2 Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? 2 No 3 Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? Yes No 3 No 4 Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? No 5 Did the organization become aware during the year of a significant diversion of the organization's assets? 5 No 6 Did the organization have members or stockholders? 6 Yes 7a Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? a Yes b Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, 7b Yes or persons other than the governing body? 8 Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following a The governing body? a Yes b Each committee with authority to act on behalf of the governing body? 8b Yes 9 Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization's mailing address? If "Yes,"provide the names and addresses in Schedule No Section B. Policies ( This Section B re q uests information about p olicies not re q uired b y the Internal Revenue Code.) 10a Did the organization have local chapters, branches, or affiliates? 10a Yes b If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes? 10b Yes 11a Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? a Yes b Describe in Schedule 0 the process, if any, used by the organization to review this Form a Did the organization have a written conflict of interest policy? If "No,"go to line a Yes b Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? b Yes c Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule 0 how this was done. 12c Yes 13 Did the organization have a written whistleblower policy? 13 Yes 14 Did the organization have a written document retention and destruction policy?. 14 Yes 15 Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision? a The organization's CEO, Executive Director, or top management official 15a Yes b Other officers or key employees of the organization 15b Yes If "Yes" to line 15a or 15b, describe the process in Schedule 0 (see instructions) 16a Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? 16a Yes b If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization's exempt status with respect to such arrangements? Section C. Disclosure List the States with which a copy of this Form 990 is required to be filed- M D Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c) (3 )s only) available for public inspection Indicate how you made these available Check all that apply fl Own website fl Another's website F Upon request fl Other (explain in Schedule O ) Describe in Schedule 0 whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year State the name, address, and telephone number of the person who possesses the organization's books and records -JAMES G LEE 16b Yes Yes No 820 WEST DIAMOND AVE SUITE 600 GAITHERSBURG,MD (301) Form 990 (2014)

7 Form 990 (2014) Page 7 Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors Check if Schedule 0 contains a response or note to any line in this Part VII.(- Section A. Officers, Directors, Trustees, Kev Employees, and Highest Compensated Employees la Complete this table for all persons required to be listed Report compensation for the calendar year ending with or within the organization's tax year * List all of the organization's current officers, directors, trustees (whether individuals or organizations), regardless of amount of compensation Enter-0- in columns (D), (E), and (F) if no compensation was paid * List all of the organization's current key employees, if any See instructions for definition of "key employee " * List the organization's five current highest compensated employees (other than an officer, director, trustee or key employee) who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the organization and any related organizations * List all of the organization's former officers, key employees, or highest compensated employees who received more than $100,000 of reportable compensation from the organization and any related organizations * List all of the organization's former directors or trustees that received, in the capacity as a former director or trustee of the organization, more than $10,000 of reportable compensation from the organization and any related organizations List persons in the following order individual trustees or directors, institutional trustees, officers, key employees, highest compensated employees, and former such persons fl Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee (A) (B) (C) (D ) ( E) (F) Name and Title Average Position (do not check Reportable Reportable Estimated hours per more than one box, unless compensation compensation amount of other week (list person is both an officer from the from related compensation any hours and a director/trustee) organization (W- organizations (W- from the for related ;rl 0 = T 2/1099-MISC) 2/1099-MISC) organization and organizations c 3uo a related below _ Q m art, organizations dotted line) Q a, 4 4 ^ Form 990 (2014)

8 Form 990 (2014) Page 8 Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued) (A) (B) (C) (D ) ( E) (F) Name and Title Average Position (do not check Reportable Reportable Estimated hours per more than one box, unless compensation compensation amount of other week (list person is both an officer from the from related compensation any hours and a director/trustee) organization (W- organizations (W- from the for related 0- ;rl M= T 2/1099-MISC) 2/1099-MISC) organization and organizations - boo a related below 74 m_ organizations dotted line) C: 7. SL T! fd a ;3 ur c lb Sub -Total c Total from continuation sheets to Part VII, Section A d Total ( add lines lb and 1c ) ,731, ,806 2 Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line la? If "Yes," complete Schedule] forsuch individual Yes Yes No 4 For any individual listed on line la, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,0007 If "Yes," complete Schedule] forsuch individual Yes 5 Did any person listed on line la receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule] forsuch person No Section B. Independent Contractors 1 Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization Report compensation for the calendar year ending with or within the organization's tax year (A) (B) (C) Name and business address Description of services Compensation ANTHELTO HEALTHCARE SOLUTIONS INC IT SERVICES 22,660,836 PO BOX DALLAS, TX QUEST DIAGNOSTICS CLININCAL LAB SERVICES 15,858,105 PO BOX ATLANTA, GA CERNER CORPORATION IT/SOFTWARE SERVICES 6,741,207 PO BOX KANSAS CITY, MO SODEXO INC DIETARY & PLANT OPS 5,843,898 PO BOX ATLANTA, GA RADIATION MANAGEMENT ASSOCIATES LLC RADIATION SERVICES 2,993, GREENBELT ROAD LANHAM, MD Total number of independent contractors ( including but not limited to those listed above ) who received more than $100,000 of compensation from the organization Form 990 (2014)

9 Form 990 (2014) Page 9 Z Statement of Revenue Check if Schedule 0 contains a response or note to any line in this Part VIII F la Federated campaigns. la r = b Membership dues.... lb E c Fundraising events.... 1c (A) (B) (C) (D) Total revenue Related or Unrelated Revenue exempt business excluded from function revenue tax under revenue sections tj' d Related organizations. ld 2,083,848 E e Government grants (contributions) le 264,420 V ^ f All other contributions, gifts, grants, and if 676,475 similar amounts not included above g Noncash contributions included in lines la-if $ h Total. Add lines la-1f. 3,024,743 Business Code 2a ACUTE CARE ,608, ,608,640 a2 S Q b BEHAVIORAL HEALTH ,967,151 46,967,151 C d e f All other program service revenue 6,647,338 4,234,113 2,413,225 g Total. Add lines 2a-2f ,223,129 3 Investment income (including dividends, interest, and other similar amounts) Income from investment of tax-exempt bond proceeds. 0-5 Royalties a Gross rents 6,304,064 b Less rental 6,895,004 expenses c Rental income -590,940 or (loss) (i) Real (ii) Personal 4,478,492 4,478,492 d Net rental inco me or (loss). lim- -590,940 32, ,756 7a Gross amount from sales of 106,909,368 assets other than inventory b Less cost or other basis and 107,113,648 sales expenses c Gain or (loss) -204,280 (i) Securities (ii) Other d Net gain or (loss). lim- -204, ,280 W 8a Gross income from fundraising events (not including $ of contributions reported on line 1c) See Part IV, line 18 a s b Less direct expenses. b c Net income or (loss) from fundraising events.. 0-9a 10a 11a Gross income from gaming activities See Part IV, line 19.. b Less direct expenses. b c Net income or (loss) from gaming acti vities...0- Gross sales of inventory, less returns and allowances. a a 397,260 b Less cost of goods sold. b 249,163 c Net income or (loss) from sales of inventory. lim- 148, ,097 b C Miscellaneous Revenue d All other revenue.. e Total.Add lines 11a-11d. Business Code 12 Total revenue. See Instructions ,079,241, 611,809,904 2,446,041, 3,798,553 Form 990 (2014)

10 Form 990 (2014) Form 990 (2014) Page 10 Statement of Functional Expenses Section 501(c)(3) and 501(c)(4) organizations must complete all columns All other organizations must complete column (A) Check if Schedule 0 contains a response or note to any line in this Part IX Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII. 1 Grants and other assistance to domestic organizations and domestic governments See Part IV, line 21 2 Grants and other assistance to domestic individuals See Part IV, line Grants and other assistance to foreign organizations, foreign governments, and foreign individuals See Part IV, lines 15 and Benefits paid to or for members. (A) Total expenses (B) Program service expenses 1,860,645 1,860,645 (C) Management and general expenses 5 Compensation of current officers, directors, trustees, and key employees 6,695,538 6,695,538 6 Compensation not included above, to disqualified persons (as defined under section 4958 (f)(1)) and persons described in section 4958( c)(3)(b) (D) Fundraising expenses 7 Other salaries and wages 231,460, ,952,614 28,961, ,887 8 Pension plan accruals and contributions ( include section 401(k) and 403(b) employer contributions ) 6,029,246 5,830, ,935 18,969 9 Other employee benefits 25,582,075 19,505,340 6,018,258 58, Payroll taxes 17,973,255 14,702,649 3,235,708 34, Fees for services (non-employees) a Management 8,754,401 6,652,927 2,101,474 b Legal 1,193,952 1,193,952 c Accounting 468, ,656 d Lobbying 153, ,913 e Professional fundraising services See Part IV, line 17 f Investment management fees 661,534 1, ,294 g Other (If line 11g amount exceeds 10 % of line 25, column (A) amount, list line 11g expenses on Schedule O) 58,023,241 47,624,219 10,190, , Advertising and promotion 2,289,284 72,379 2,215,569 1, Office expenses 65,085,119 59,314,926 5,723,919 46, Information technology 27,036,143 20,277,107 6,759, Royalties 16 Occupancy 28,885,825 23,498,477 5,296,553 90, Travel 1,510, , ,935 18, Payments of travel or entertainment expenses for any federal, state, or local public officials 19 Conferences, conventions, and meetings 619, , , Interest 9,441,496 1,341 9,440, Payments to affiliates 22 Depreciation, depletion, and amortization 32,027,865 31,373, , Insurance 4,466,371 4,466, Other expenses Itemize expenses not covered above (List miscellaneous expenses in line 24e If line 24e amount exceeds 10% of line 25, column ( A) amount, list line 24e expenses on Schedule 0 a MEDICAL SUPPLIES 58,166,888 58,166,888 b RECRUITING 1,426,008 1,426,008 c LOSS ON EXTINGUISHMENT 222, ,350 d e All other expenses 25 Total functional expenses. Add lines 1 through 24e 590,033, ,299,419 96,710,402 1,024, Joint costs. Complete this line only if the organization reported in column ( B) joint costs from a combined educational campaign and fundraising solicitation Check here - fl if following SOP 98-2 (ASC )

11 Form 990 (2014) Page 11 Balance Sheet Check if Schedule 0 contains a response or note to any line in this Part X F (A) Beginning of year (B) End of year 1 Cash-non-interest-bearing 1 155,733 2 Savings and temporary cash investments ,078, ,122,691 3 Pledges and grants receivable, net 1,115, ,086 4 Accounts receivable, net ,488, ,987,045 5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees Complete Part II of Schedule L.. 6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L 7 Notes and loans receivable, net ,845, ,810,869 8 Inventories for sale or use 10,266, ,145,365 9 Prepaid expenses and deferred charges. 7,791, ,682,729 10a Land, buildings, and equipment cost or other basis Complete Part VI of Schedule D 10a 763,144,745 b Less accumulated depreciation. 10b 389,382, ,728,964 10c 373,762, Investments-publicly traded securities. 134,453, ,889, Investments-other securities See Part IV, line 11 7,195, ,553, Investments-program-related See Part IV, line 11 63,173, ,604, Intangible assets ,427, ,196, Other assets See Part IV, line 11 39,952, ,729, Total assets. Add lines 1 through 15 (must equal line 34). 804,518, ,448, Accounts payable and accrued expenses ,153, ,985, Grants payable Deferred revenue , Tax-exempt bond liabilities ,818, ,345, Escrow or custodial account liability Complete Part IV of Schedule D Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified persons Complete Part II of Schedule L Secured mortgages and notes payable to unrelated third parties 89,890, ,718, Unsecured notes and loans payable to unrelated third parties Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24) Complete Part X of Schedule D. 36,536, ,336, Total liabilities. Add lines 17 through ,399, ,053,129 Organizations that follow SFAS 117 ( ASC 958), check here 1- lines 27 through 29, and lines 33 and 34. F and complete C5 27 Unrestricted net assets 318,165, ,389,003 M ca r_ W_ 28 Temporarily restricted net assets 954, ,006, Permanently restricted net assets 29 Organizations that do not follow SFAS 117 (ASC 958 ), check here 1 complete lines 30 through Capital stock or trust principal, or current funds Paid-in or capital surplus, or land, building or equipment fund 31 4T 32 Retained earnings, endowment, accumulated income, or other funds 32 z 33 Total net assets or fund balances ,119, ,395, Total liabilities and net assets/fund balances ,518, ,448,643 F and 5 6 Form 990 (2014)

12 Form 990 (2014) Page 12 «Reconcilliation of Net Assets Check if Schedule 0 contains a response or note to any line in this Part XI. F 1 Total revenue (must equal Part VIII, column (A), line 12).. 2 Total expenses (must equal Part IX, column (A), line 25).. 3 Revenue less expenses Subtract line 2 from line 1 4 Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) 5 Net unrealized gains (losses) on investments 6 Donated services and use of facilities 7 Investment expenses.. 8 Prior period adjustments.. 9 Other changes in net assets or fund balances (explain in Schedule 0) 10 Net assets or fund balances at end of year Combine lines 3 through 9 (must equal Part X, line 33, column (B)) Financial Statements and Reporting 1 621,079, ,033, ,045, ,119, ,144, , ,395,514 Check if Schedule 0 contains a response or note to any line in this Part XII (- Yes No 1 Accounting method used to prepare the Form 990 fl Cash 17 Accrual (Other If the organization changed its method of accounting from a prior year or checked " Other," explain in Schedule 0 2a Were the organization 's financial statements compiled or reviewed by an independent accountant? 2a If'Yes,'check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both fl Separate basis fl Consolidated basis fl Both consolidated and separate basis b Were the organization's financial statements audited by an independent accountant? 2b Yes If'Yes,'check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both fl Separate basis F Consolidated basis fl Both consolidated and separate basis c If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant? 2c Yes If the organization changed either its oversight process or selection process during the tax year, explain in Schedule 0 3a As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? a Yes b If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the 3b Yes required audit or audits, explain why in Schedule 0 and describe any steps taken to undergo such audits No Form 990 (2014)

13 Additional Data Software ID: Software Version: EIN: Name : ADVENTIST HEALTHCARE INC Form 990, Part VII - Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors (A) (B) (C) (D ) ( E) (F) Name and Title Average Position (do not check Reportable Reportable Estimated amount hours per more than one box, unless compensation compensation of other week (list person is both an officer from the from related compensation any hours and a director/trustee) organization (W- organizations (W- from the for related -,^ = 2/1099-MISC) 2/1099-MISC) organization and -n organizations ' ID boo LD related below c m _ (D 0 r organizations dotted line) c a, SL 'D 0 (1) DAVID E WEIGLEY X CHAIRMAN (1) SETH BARDU X TRUSTEE (2) ROBERT T VANDEMAN X TRUSTEE (3) RENEE BATTLE-BROOKS ESQ X TRUSTEE (4) AVIS E BUCHANAN ESQ X TRUSTEE (5) RUTH E BULGER PHD X TRUSTEE (6) WALTER F FENNELL X TRUSTEE (7) MARK E GRIFFIN X TRUSTEE (8) NANCY E HARDWICK X TRUSTEE (9) PATRICK J HOGAN X TRUSTEE (10) ROSEMARIE MELENDEZ X TRUSTEE (11) DONALD MELNICK MD X TRUSTEE (12) JEFFREY J PARGAMENT ESQ X TRUSTEE (13) RICK REMMERS X TRUSTEE (14) BRUCE C ROBERTSON PHD X TRUSTEE (15) JAMES ROST MD X TRUSTEE (16) WEYMOUTH SPENCE EDD X TRUSTEE (17) THOMAS WERNER X TRUSTEE (18) DREWRY J WHITE MD X TRUSTEE (19) WILLIAM G ROBERTSON X X 458, ,213 SEPARATED PRESIDENT & CEO (20) TERRY FORDE X X 986, ,620 PRESIDENT & CEO (21) JAMES G LEE X 660, ,661 EVP & CFO (22) JOHN SACKETT X 680, ,192 EVP & COO OF AHC & PRESIDENT OF SGMC (23) ERIK WANGSNESS X 262, ,144 PRESIDENT, WAH 2 00 (24) JOYCE L NEWMYER X 250, ,713 SEPARATED PRESIDENT, WAH 2 00

14 Form 990, Part VII - Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors (A) (B) (C) (D) (E) (F) Name and Title Average Position (do not check Reportable Reportable Estimated amount hours per more than one box, unless compensation compensation of other week (list person is both an officer from the from related compensation any hours and a director/trustee) organization (W- organizations (W- from the for related 0,o = 2/1099-MISC) 2/1099-MISC) organization and -n organizations _ related below m_ 0 organizations dotted line) i c rt ` D (26) JASON C COE X 347, ,867 PRESIDENT, HRMC (1) PATRICK GARRETT X 483, ,001 SVP & PHYSICIAN INTEGRATION (2) SUSAN L GLOVER X 348, ,550 SVP & SYSTEM QUALITY (3) MARTA BRITO PEREZ X 408, ,301 SVP & CHIEF HR OFFICER (4) KEVIN YOUNG X 399, ,061 PRESIDENT, BHWS (5) BRENT REITZ X 285, ,902 PRESIDENT, ARHM (6) KEITH BALLENGER X 218, ,685 VP, HOME HEALTH (7) AMY CARRIER X 283, ,877 VP, BUS DEVELOPMENT & STRATEGIC PLANNING (8) THOMAS GRANT X 221, ,315 VP, PUBLIC RELATIONS & MARKETING (9) KEVIN SMOTHERS X 555, ,487 VP & CMO (10) KENNETH B DESTEFANO X 437, ,470 VP & GENERAL COUNSEL (11) RANDALL WAGNER X 439, ,918 VP & CMO, WAH (12) EUNMEE SHIM X 291, ,657 VP, OPERATIONS (13) DANIEL L COCHRAN X 372, ,639 VP & CFO, SGMC 5 00 (14) DENNIS DUANE HANSEN X 341, ,533 FORMER PRESIDENT, SGMC 10 00

15 lefile GRAPHIC print - DO NOT PROCESS I As Filed Data - I DLN: SCHEDULE A Public Charity Status and Public Support (Form 990 or 990EZ) Complete if the organization is a section 501(c)( 3) organization or a section 4947(a)(1) nonexempt charitable trust. Department of the Oil Attach to Form 990 or Form 990-EZ. Treasury Oil Information about Schedule A (Form 990 or 990-EZ) and its instructions is at Internal Revenue Service Name of the organization ADVENTIST HEALTHCARE INC OMB No Employer identification number Reason for Public Charity Status (All organizations must complete this part.) See Instructions. The organization is not a private foundation because it is (For lines 1 through 11, check only one box ) 1 1 A church, convention of churches, or association of churches described in section 170 ( b)(1)(a)(i). 2 1 A school described in section 170 (b)(1)(a)(ii). (Attach Schedule E ) 3 F A hospital or a cooperative hospital service organization described in section 170 ( b)(1)(a)(iii). 4 1 A medical research organization operated in conjunction with a hospital described in section 170 (b)(1)(a)(iii). Enter the hospital's name, city, and state 5 fl An organization operated for the benefit of a college or university owned or operated by a governmental unit described in 6 fl 7 n 8 fl 9 fl 10 fl 11 n a b c d e fl fl fl fl fl section 170 ( b)(1)(a)(iv ). (Complete Part II ) A federal, state, or local government or governmental unit described in section 170 ( b)(1)(a)(v). An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170 ( b)(1)(a)(vi ). (Complete Part II ) A community trust described in section 170 ( b)(1)(a)(vi ) (Complete Part II ) An organization that normally receives (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions-subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975 See section 509 (a)(2). (Complete Part III ) An organization organized and operated exclusively to test for public safety See section 509(a)(4). An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2) See section 509 (a)(3). Check the box in lines 11 a through 11d that describes the type of supporting organization and complete lines Ile, 11f, and 11g Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization You must complete Part IV, Sections A and B. Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s) You must complete Part IV, Sections A and C. Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions) You must complete Part IV, Sections A, D, and E. Type III non -functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions) You must complete Part IV, Sections A and D, and Part V. Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization Enter the number of supported organizations Provide the following information about the supported organization(s) (i)name of supported organization (ii) EIN (iii) Type of organization (described on lines 1-9 above orirc section (see instructions)) (iv) Is the organization listed in your governing document? Yes No (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions) Total For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ. Cat No 11285F Schedule A (Form 990 or 990 -EZ) 2014

16 Schedule A (Form 990 or 990-EZ) 2014 Schedule A (Form 990 or 990-EZ) 2014 Page 2 MU^ Support Schedule for Organizations Described in Sections 170(b )( 1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.) Section A. Public Support Calendar year (or fiscal year beginning in) (a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (f) Total 1 Gifts, grants, contributions, and membership fees received (Do not include any "unusual grants ") 2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf 3 The value of services or facilities furnished by a governmental unit to the organization without charge 4 Total.Add lines 1 through 3 5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) 6 Public support. Subtract line 5 from line 4 Section B. Total Su pp ort Calendar year ( or fiscal year beginning in) (a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (f) Total 7 Amounts from line 4 8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources 9 Net income from unrelated business activities, whether or not the business is regularly carried on 10 Other income Do not include gain or loss from the sale of capital assets (Explain in Part VI ) 11 Total support Add lines 7 through Gross receipts from related activities, etc (see instructions) First five years. If the Form 990 is for the organization 's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ite Section C. Com p utation of Public Su pp ort Percenta g e 14 Public support percentage for 2014 (line 6, column (f) divided by line 11, column (f)) Public support percentage for 2013 Schedule A, Part II, line a 33 1 / 3% support test If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization b 33 1 / 3% support test If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization 17a 10%-facts-and -circumstancestest If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test The organization qualifies as a publicly supported organization b 10%-facts -and-circumstancestest If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts- and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test The organization qualifies as a publicly supported organization 18 Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see instructions

17 Schedule A (Form 990 or 990-EZ) 2014 Schedule A (Form 990 or 990-EZ) 2014 Page 3 IMMITM Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.) Section A. Public Support Calendar year ( or fiscal year beginning in) (a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (f) Total 1 Gifts, grants, contributions, and membership fees received (Do not include any "unusual grants ") 2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose 3 Gross receipts from activities that are not an unrelated trade or business under section Tax revenues levied for the organization's benefit and either paid to or expended on its behalf 5 The value of services or facilities furnished by a governmental unit to the organization without charge 6 Total. Add lines 1 through 5 7a Amounts included on lines 1, 2, and 3 received from disqualified persons b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of$5,000 or 1% of the amount on line 13 for the year c Add lines 7a and 7b 8 Public support (Subtract line 7c from line 6 ) Section B. Total Suuuort Calendar year ( or fiscal year beginning in) (a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (f) Total 9 Amounts from line 6 10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975 c Add lines 10a and 10b 11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on 12 Other income Do not include gain or loss from the sale of capital assets (Explain in Part VI ) 13 Total support. (Add lines 9, 1Oc, 11, and 12 ) 14 First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here Section C. Computation of Public Support Percentage 15 Public support percentage for 2014 ( line 8, column (f) divided by line 13, column (f)) Public support percentage from 2013 Schedule A, Part III, line Section D. Com p utation of Investment Income Percenta g e 17 Investment income percentage for 2014 (line 10c, column (f) divided by line 13, column (f)) Investment income percentage from 2013 Schedule A, Part III, line a 33 1/3% support tests If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization lk'fb 33 1 / 3% support tests If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization llik^f_ 20 Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions llik^f_

18 Schedule A (Form 990 or 990-EZ) 2014 Schedule A (Form 990 or 990-EZ) 2014 Page 4 Supporting Organizations LQ&M (Complete only if you checked a box on line 11 of Part I If you checked 11a of Part I, complete Sections A and B If you checked 11b of Part I, complete Sections A and C If you checked 11c of Part I, complete Sections A, D, and E If you checked 11d of Part I, complete Sections A and D, and complete Part V Section A. All Sunnortina Organizations 1 Are all of the organization's supported organizations listed by name in the organization's governing documents? If "No,"describe in Part VI how the supported organizations are designated. If designated by class or purpose, describe the designation. If historic and continuing relationship, explain. 1 2 Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)7 If "Yes," explain in Part VI how the organization determined that thesupported organization was described in section 509(a)(1) or (2). 2 3a Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below. b Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination. c Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use. 4a Was any supported organization not organized in the United States ("foreign supported organization")? If "Yes" and if you checked 11a or 11b in Part I, answer (b) and (c) below. 4a b Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If "Yes,"describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.... c 5a Did the organization support any foreign supported organization that does not have an IRS determination under sections ( c ) ( 3 ) and 509 (a)(1) or (2 )? If "Yes," explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(8) purposes. Did the organization add, substitute, or remove any supported organizations during the tax year? If "Yes,"answer (b) and (c) below Of applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed, (n) the reasons for each such action, (in) the authority under the organization's organizing document authorizing such action, and (iv) how the action was accomplished (such as by amendment to the organizing document). b Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document? c Substitutions only. Was the substitution the result of an event beyond the organization's control? 5c 6 Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (a) its supported organizations, (b) individuals that are part of the charitable class benefited b one or more of its supported organizations, or (c) other supporting organizations that also support or benefit one or more of the filing organization's supported organizations? If "Yes,"provide detail in Part VI. 7 Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in IRC 4958(c)(3 )(C )), a family member of a substantial contributor, or a 35-percent controlled entity with regard to a substantial contributor? If "Yes,"complete Part I of Schedule L (Form 990). 8 Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If "Yes,"complete Part II of Schedule L (Form 990). 8 9a Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509 (a)(1) or (2 ))7 If "Yes, "provide detail in Part VI. 9a b Did one or more disqualified persons (as defined in line 9(a)) hold a controlling interest in any entity in which the supporting organization had an interest? If "Yes,"provide detail in Part VI. c Did a disqualified person (as defined in line 9 ( a)) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If "Yes, "provide detail in Part VI. 10a Was the organization subject to the excess business holdings rules ofirc 4943 because ofirc 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If "Yes,"answerb below. b Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings). 11 Has the organization accepted a gift or contribution from any of the following persons? a A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization? b A family member of a person described in (a) above? 11b c A 35% controlled entity of a person described in (a) or (b) above? If "Yes"to a, b, orc, provide detail in Part VI. 11c 3a 3b 3c 4b 4c 5a 5b 9b 9c 10a lob lla Yes I No

19 Schedule A (Form 990 or 990-EZ) 2014 Schedule A (Form 990 or 990-EZ) 2014 Page 5 Li^ Supporting Organizations (continued) Section B. Tvne I Sunnortina Organizations 1 Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization's directors or trustees at all times during the tax year? If "No,"describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization's activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year. 2 Did the organization operate for the benefit of any supported organization other than the supported organization(s that operated, supervised, or controlled the supporting organization? If "Yes,"explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization. No Section C. Type II Supporting Organizations 1 Were a majority of the organization's directors or trustees during the tax year also a majority of the directors or trustees of each of the organization's supported organization(s)? If "No,"describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s). Section D. All Type III Supporting Organizations 1 Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization's tax year, (1) a written notice describing the type and amount of support provided during the prior tax year, (2) a copy of the Form 990 that was most recently filed as of the date of notification, and (3) copies of the organization's governing documents in effect on the date of notification, to the extent not previously provided 2 Were any of the organization's officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No,"explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s). No No 3 By reason of the relationship described in (2), did the organization's supported organizations have a significant voice in the organization's investment policies and in directing the use of the organization's income or assets at all times during the tax year? If "Yes,"describe in Part VI the role the organization's supported organizations played in this regard. Section E. Type III Functionally-Integrated Supporting Organizations Check the box next to the method that the organization used to satisfy the Integral Part Test during the year ( see instructions) a fl The organization satisfied the Activities Test Complete line 2 below b fl The organization is the parent of each of its supported organizations Complete line 3 below c fl The organization supported a governmental entity Describe in Part VI how you supported a government entity (see instructions) 2 Activities Test Answer ( a) and ( b) below. a Did substantially all of the organization's activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and exp lain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities. b Did the activities described in (a) constitute activities that, but for the organization's involvement, one or more of the organization's supported organization(s) would have been engaged in? If "Yes,"explain in Part VI the reasons for the organization's position that its supported organization(s) would have engaged in these activities but for the organization's involvement. 3 Parent of Supported Organizations Answer ( a) and ( b) below. a Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees o each of the supported organizations? Provide details in Part VI. b Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes,"describe in Part VI the role played by the organization in this regard.

20 Schedule A (Form 990 or 990-EZ) 2014 Schedule A (Form 990 or 990-EZ) 2014 Page 6 Part V - Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations 1 1 Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov 20, 1970 See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E Section A - Adjusted Net Income I (A) Prior Year I (B) Current Year (optional) 1 Net short-term capital gain 1 2 Recoveries of prior-year distributions 2 3 Other gross income (see instructions) 3 4 Add lines 1 through Depreciation and depletion 5 6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6 7 Other expenses (see instructions) 7 8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8 Section B - Minimum Asset Amount (A) Prior Year I (B) Current Year (optional) 1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year) 1 2 a Average monthly value of securities la b Average monthly cash balances lb c Fair market value of other non-exempt-use assets 1c d Total (add lines la, 1b, and 1c) ld e Discount claimed for blockage or other factors (explain in detail in Part VI) Acquisition indebtedness applicable to non-exempt use assets 2 3 Subtract line 2 from line ld 3 4 Cash deemed held for exempt use Enter 1-1/2% of line 3 (for greater amount, see instructions) 4 5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5 6 Multiply line 5 by Recoveries of prior-year distributions 7 8 Minimum Asset Amount (add line 7 to line 6) 8 Section C - Distributable Amount Current Year 1 Adjusted net income for prior year (from Section A, line 8, Column A) 1 2 Enter 85% of line Minimum asset amount for prior year (from Section B, line 8, Column A) 3 4 Enter greater of line 2 or line Income tax imposed in prior year 5 6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6 7 F- Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

21 Schedule A (Form 990 or 990-EZ) 2014 Page 7 Section D - Distributions Current Year 1 Amounts paid to supported organizations to accomplish exempt purposes 2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity 3 Administrative expenses paid to accomplish exempt purposes of supported organizations 4 Amounts paid to acquire exempt-use assets 5 Qualified set-aside amounts (prior IRS approval required) 6 Other distributions (describe in Part VI) See instructions 7 Total annual distributions. Add lines 1 through 6 8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI) See instructions 9 Distributable amount for 2014 from Section C, line 6 10 Line 8 amount divided by Line 9 amount Section E - Distribution Allocations ( see instructions ) 1 Distributable amount for 2014 from Section C, line 6 2 U nderdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions) 3 Excess distributions carryover, if any, to 2014 (i) Excess Distributions Underdi st r ibutions Pre-2014 (^^^) Distributable Amount for 2014 a From b From c From d From e From f Total of lines 3a through e g Applied to underdistributions of prior years h Applied to 2014 distributable amount i Carryover from 2009 not applied (see instructions) j Remainder Subtract lines 3g, 3h, and 3i from 3f 4 Distributions for 2014 from Section D, line 7 a Applied to underdistributions of prior years b Applied to 2014 distributable amount c Remainder Subtract lines 4a and 4b from 4 5 Remaining underdistributions for years prior to 2014, if any Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) 6 Remaining underdistributions for 2014 Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) 7 Excess distributions carryoverto Add lines 3j and 4c 8 Breakdown of line 7 a From b From c From d From e From Schedule A (Form 990 or 990 -EZ) (2014)

22 Schedule A (Form 990 or 990-EZ ) 2014 Page 8 Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line le; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this Dart for any additional information. (See instructions). Facts And Circumstances Test Return Reference Explanation Schedule A (Form 990 or 990-EZ) 2014

23 l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: SCHEDULE C Political Campaign and Lobbying Activities OMB No (Form 990 or 990-EZ) For Organizations Exempt From Income Tax Under section 501(c) and section Department of the Treasury 1- Complete if the organization is described below. 0- Attach to Form 990 or Form 990-EZ. 0- Information about Schedule C (Form 990 or 990-EZ) and its instructions is at Ope n Internal Revenue Service Inspection If the organization answered "Yes" to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 ( Political Campaign Activities), then Section 501(c)(3) organizations Complete Parts I-A and B Do not complete Part I-C Section 501(c) (other than section 501(c)(3)) organizations Complete Parts I-A and C below Do not complete Part I-B Section 527 organizations Complete Part I-A only If the organization answered "Yes" to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 ( Lobbying Activities), then Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A Do not complete Part II-B Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)) Complete Part II-B Do not complete Part II-A If the organization answered "Yes" to Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions ) or Form 990-EZ, Part V, line 35c ( Proxy Tax) (see separate instructions), then * Section 501(c)(4), (5), or (6) organizations Complete Part III Name of the organization ADVENTIST HEALTHCARE INC Employer identification number Complete if the organization is exempt under section 501(c) or is a section 527 organization. 1 Provide a description of the organization's direct and indirect political campaign activities in Part IV 2 Political expenditures 0- $ 3 Volunteer hours Complete if the organization is exempt under section 501 ( c)(3). 1 Enter the amount of any excise tax incurred by the organization under section $ 2 Enter the amount of any excise tax incurred by organization managers under section $ 3 If the organization incurred a section 4955 tax, did it file Form 4720 for this year? fl Yes fl No 4a Was a correction made? fl Yes fl No b If "Yes," describe in Part IV rmwint-complete if the organization is exempt under section 501(c), except section 501(c)(3). 1 Enter the amount directly expended by the filing organization for section 527 exempt function activities 0- $ 2 Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities 0- $ 3 Total exempt function expenditures Add lines 1 and 2 Enter here and on Form 1120-PO L, line 17b 0- $ 4 Did the filing organization file Form 1120-POL for this year? fl Yes fl No 5 Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing organization made payments For each organization listed, enter the amount paid from the filing organization's funds Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC) If additional space is needed, provide information in Part IV (a) Name (b) Address ( c) EIN (d ) Amount paid from filing organization's funds If none, enter -0- (e) Amount of political contributions received and promptly and directly delivered to a separate political organization If none, enter -0- For Paperwork Reduction Act notice, see the instructions for Form 990 or 990 -EZ. Cat No 50084S Schedule C (Form 990 or 990-EZ) 2014

24 Schedule C (Form 990 or 990-EZ) 2014 Page 2 Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 ( election under section 501(h)). A Check - (- if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures) B Check - (- if the filing organization checked box A and "limited control" provisions apply Limits on Lobbying Expenditures (The term "expenditures " means amounts paid or incurred.) la Total lobbying expenditures to influence public opinion (grass roots lobbying) b Total lobbying expenditures to influence a legislative body (direct lobbying) c Total lobbying expenditures (add lines la and 1b) d Other exempt purpose expenditures e Total exempt purpose expenditures (add lines 1c and 1d) f Lobbying nontaxable amount Enter the amount from the following table in both columns If the amount on line le, column ( a) or (b ) is: The lobbying nontaxable amount is: Not over $500,000 20% of the amount on line le Over $500,000 but not over $1,000,000 $100,000 plus 15% of the excess over $500,000 Over $1,000,000 but not over $1,500,000 $175,000 plus 10% of the excess over $1,000,000 Over $1,500,000 but not over $17,000,000 $225,000 plus 5% of the excess over $1,500,000 Over $17,000,000 $1,000,000 (a) Filing organization's totals (b) Affiliated group totals g Grassroots nontaxable amount (enter 25% of line 1f) h Subtract line 1g from line la If zero or less, enter-0- i Subtract line 1f from line 1c If zero or less, enter-0- LE i If there is an amount other than zero on either line 1h or line 11, did the organization file Form 4720 reporting section 4911 tax for this year? F- Yes F- No 4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all columns below. See the separate instructions for lines 2a through 2f.) of the five Lobbying Expenditures During 4-Year Averaging Period Calendar year (or fiscal beginning in) year (a) 2011 (b) 2012 (c) 2013 (d) 2014 (e) Total 2a Lobbying nontaxable amount b Lobbying ceiling amount (150% of line 2a, column(e)) c Total lobbying expenditures d Grassroots nontaxable amount e Grassroots ceiling amount 150% of line 2d column e f Grassroots lobbying expenditures Schedule C (Form 990 or 990-EZ) 2014

25 Schedule C (Form 990 or 990EZ) 2014 Schedule C (Form 990 or 990-EZ) 2014 Pa g e 3 Complete if the organization is exempt under section 501 ( c)(3) and has NOT filed Form 5768 election under section 501 ( h )). For each "Yes " response to lines la through li below, provide in Part IV a detailed description of the lobbying (a) (b) activity. Yes No Amount 1 During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of a Volunteers? No b Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? Yes c Media advertisements? No d Mailings to members, legislators, or the public? No e Publications, or published or broadcast statements? No f Grants to other organizations for lobbying purposes? No g Direct contact with legislators, their staffs, government officials, or a legislative body? Yes 153,913 h Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? No i Other activities? No j Total Add lines 1c through ,913 2a Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? No b If "Yes," enter the amount of any tax incurred under section 4912 c If "Yes," enter the amount of any tax incurred by organization managers under section 4912 d If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? Complete if the organization is exempt under section 501 ( c)(4), section 501(c)(5), or section 501 ( c )( 6 ). Yes 1 Were substantially all (90% or more) dues received nondeductible by members? 1 2 Did the organization make only in-house lobbying expenditures of $2,000 or less? 2 3 Did the organization agree to carry over lobbying and political expenditures from the prior year? 3 Complete if the organization is exempt under section 501 ( c)(4), section 501(c)(5), or section 501(c )( 6) and if either ( a) BOTH Part 111-A, lines 1 and 2, are answered "No" OR ( b) Part 111-A, line 3, is answered "Yes." 1 Dues, assessments and similar amounts from members 1 2 Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid). a Current year 2a b Carryover from last year 2b c Total 2c 3 Aggregate amount reported in section 6033(e)(1 )(A) notices of nondeductible section 162(e) dues 3 4 If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? 4 5 Taxable amount of lobbying and political expenditures (see instructions) 5 Su lementalinformation Provide the descriptions required for Part I-A, line 1, Part I-B, line 4, Part I-C, line 5, Part II-A (affiliated group list), Part II-A, lines 1 and 7 (cap instnirtinns and Part II-R Iina 1 A lcn rmmnlata this nart fnr anv a 1ditinnal infnrmatinn Return Reference Explanation PART II-B, LINE 1 IN 2014, ADVENTIST HEALTHCARE, INC WAS ENGAGED IN LOBBYING ACTIVITIES AT THE LOCAL, STATE AND FEDERAL LEVEL ACTIVITIES INCLUDED DISCUSSIONS WITH MONTGOMERY COUNTY AND PRINCE GEORGE'S COUNTY OFFICIALS ABOUT VARIOUS REGIONAL HEALTH CARE MATTERS, PARTICULARLY INVOLVING THE LOCAL HEALTH CARE SAFETY NET AND ISSUES OF ACCESS TO CARE CONTACT WITH LEGISLATORS AND LOBBYING ON ISSUES AT THE STATE LEVEL ALSO TOOK PLACE, PARTICULARLY AROUND ISSUES OF PUBLIC HEALTH AND ACCESS TO HEALTH CARE SERVICES AT THE FEDERAL LEVEL, ADVENTIST HEALTHCARE WAS ENGAGED IN MONITORING LEGISLATIVE AND EXECUTIVE ACTION RELATED TO MEDICARE, MEDICAID, FEDERAL HEALTH REFORM, MENTAL HEALTH POLICY, HEALTHCARE REIMBURSEMENT AND ACCESS TO CARE No

26 Schedule C (Form 990 or 990-EZ) 2013 Page 4 Schedule C (Form 990 or 990EZ) 2014

27 lefile GRAPHIC print - DO NOT PROCESS As Filed Data - DLN: OMB No SCHEDULE D Supplemental Financial Statements (Form 990) 0- Complete if the organization answered " Yes," to Form 990, 2014 Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b. Department of the Treasury 0- Attach to Form Internal Revenue Service Information about Schedule D (Form 990) and its instructions is at /form990. Name of the organization Employer identification number ADVENTIST HEALTHCARE INC Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the or g anization answered "Yes" to Form 990, Part IV, line 6. (a) Donor advised funds (b) Funds and other accounts 1 Total number at end of year 2 Aggregate value of contributions to (during year) 3 Aggregate value of grants from ( during year) 4 Aggregate value at end of year 5 Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization's property, subject to the organization ' s exclusive legal control? F Yes I No 6 Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? fl Yes fl No MRSTI-Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7. 1 Purpose ( s) of conservation easements held by the organization ( check all that apply) 1 Preservation of land for public use ( e g, recreation or education ) 1 Preservation of an historically important land area 1 Protection of natural habitat 1 Preservation of a certified historic structure fl Preservation of open space 2 Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year a b Total number of conservation easements Total acreage restricted by conservation easements c Number of conservation easements on a certified historic structure included in (a) d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register 2a 2b 2c 2d Held at the End of the Year 3 N umber of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the tax year 0-4 N umber of states where property subject to conservation easement is located 0-5 Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? fl Yes fl No 6 Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year 0-7 Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year 0- $ 8 Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? F Yes 1 No 9 In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and balance sheet, and include, if applicable, the text of the footnote to the organization's financial statements that describes the organization's accounting for conservation easements Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets. Complete if the oraanization answered "Yes" to Form 990. Part IV. line 8. la If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items b If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items (i) Revenue included in Form 990, Part VIII, line 1 $ (ii)assets included in Form 990, Part X $ 2 If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the following amounts required to be reported under SFAS 116 (ASC 958) relating to these items a Revenue included in Form 990, Part VIII, line 1 $ b Assets included in Form 990, Part X $ For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat No 52283D Schedule D (Form 990) 2014

28 Schedule D (Form 990) 2014 Page 2 r:ftnfw Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued) 3 Using the organization's acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply) a F_ Public exhibition d fl Loan or exchange programs b 1 Scholarly research e (- Other c F Preservation for future generations 4 Provide a description of the organization's collections and explain how they further the organization's exempt purpose in Part XIII 5 During the year, did the organization solicit or receive donations of art, historical treasures or other similar assets to be sold to raise funds rather than to be maintained as part of the organization's collection? 1 Yes 1 No la Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21. Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not included on Form 990, Part X7 1 Yes F No b If "Yes," explain the arrangement in Part XIII and complete the following table c Beginning balance 1c d Additions during the year ld e Distributions during the year le f Ending balance if A mount 2a Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? 1 Yes 1 No b If "Yes," explain the arrangement in Part XIII Check here if the explanation has been provided in Part XIII MITIT-Endowment Funds. Com p lete If the or g anization answered "Yes" to Form 990, Part IV, line 10. (a)current year (b)prior year b (c)two years back (d)three years back (e)four years back la Beginning of year balance. b c d e Contributions Net investment earnings, gains, and losses Grants or scholarships Other expenditures for facilities and programs f Administrative expenses. g End of year balance 2 Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as a Board designated or quasi-endowment 0- b Permanent endowment 0- c Temporarily restricted endowment 0- The percentages in lines 2a, 2b, and 2c should equal 100% 3a Are there endowment funds not in the possession of the organization that are held and administered for the organization by Yes No (i) unrelated organizations a(i) (ii) related organizations a(ii) b If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R?.. I 3b 4 Describe in Part XIII the intended uses of the organization's endowment funds Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 1 1 a See Form 990 Part X line 1(l Description of property (a) Cost or other basis ( investment ) (b)cost or other basis (other) (c) Accumulated depreciation (d) Book value la Land 8,162,408 8,162,408 b Buildings 351,368, ,526, ,842,889 c Leasehold improvements 37,766,251 20,493,145 17,273,106 d Equipment 277,952, ,439, ,512,615 e Other 87,894,716 21,923,319 65,971,397 Total. Add lines 1a through 1 e (Column (d) must equal Form 990, Part X, column (B), line 10 (c).) ,762,415 Schedule D (Form 990) 2014

29 Schedule D (Form 990) 2014 Page 3 Investments - Other Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. See Form 990, Part X line 12. (a) Description of security or category (b)book value (c) Method of valuation (including name of security) Cost or end-of-year market value (1 )Financial derivatives (2)Closely-held equity interests Other Total. (Column (b) must equal Form 990, Part X, col (B) line 12) Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13. (a) Description of investment (b) Book value (c) Method of valuation Cost or end-of-year market value (1) LAND HELD FOR HEALTHCARE DEVELOPMENT C Total. (Column (b) must equal Form 990, Part X, col (B) line 13) ,604,975 Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d See Form 990, Part X, line 15 (a) Description (b) Book value Total. (Column (b) must equal Form 990, Part X, co/.(8) line 15.). 0.1 Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line (a) Description of liability (b) Book value Federal income taxes INTEREST RATE SWAPS LIABILITY 21,507,539 DEFERRED COMPENSATION 164,057 PROFESSIONAL LIABILITY INS SE 11,626,223 COMPLIANCE LIABILITY RESERVE 2,862,935 OTHER LONG TERM LIABILITIES Total. ( Column (b) must equa l Form 990, Part X, col (8) line 25 ) P. I 42,336, Liability for uncertain tax positions In Part XIII, provide the text of the footnote to the organization ' s financial statements that reports the organization ' s liability for uncertain tax positions under FIN 48 (ASC 740 ) Check here if the text of the footnote has been provided in Part XIII F Schedule D (Form 990) 2014

30 Schedule D (Form 990) 2014 Schedule D (Form 990) 2014 Page 4 Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the or g anization answered 'Yes' to Form 990, Part IV line 12a. 1 Total revenue, gains, and other support per audited financial statements. 1 2 Amounts included on line 1 but not on Form 990, Part VIII, line 12 a Net unrealized gains (losses) on investments 2a b Donated services and use of facilities. 2b c Recoveries of prior year grants 2c d Other (Describe in Part XIII ) 2d e Add lines 2a through 2d e 3 Subtract line 2e from line Amounts included on Form 990, Part VIII, line 12, but not on line 1 a Investment expenses not included on Form 990, Part VIII, line 7b. 4a b Other (Describe in Part XIII ) b c Add lines 4a and 4b c 5 Total revenue Add lines 3 and 4c. (This must equal Form 990, Part I, line 12 ) «Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the org anization answered 'Yes' to Form 990, Part IV line 12a. 1 Total expenses and losses per audited financial statements Amounts included on line 1 but not on Form 990, Part IX, line 25 a Donated services and use of facilities. 2a b Prior year adjustments 2b c Other losses c d Other (Describe in Part XIII ) d e Add lines 2a through 2d e 3 Subtract line 2e from line Amounts included on Form 990, Part IX, line 25, but not on line 1: a Investment expenses not included on Form 990, Part VIII, line 7b 4a b Other (Describe in Part XIII ) b c Add lines 4a and 4b c 5 Total expenses Add lines 3 and 4c. (This must equal Form 990, Part I, line 18 ) OT1174M Su pp lemental Information Provide the descriptions required for Part II, lines 3, 5, and 9, Part III, lines la and 4, Part IV, lines lb and 2b, Part V, line 4, Part X, line 2, Part XI, lines 2d and 4b, and Part XII, lines 2d and 4b Also complete this part to provide any additional information PART X, LINE 2 Return Reference Explanation FIN 48 NOTES THE CORPORATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY MEASUREMENT OFTHE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2014 OR 2013

31 Schedule D (Form 990) 2013 Page 5 Schedule D (Form 990) 2014

32 i lefile GRAPHIC print - DO NOT PROCESS As Filed Data - DLN: SCHEDULE H (Form 990) Hospitals OMB No Complete if the organization answered "Yes" to Form 990, Part IV, question Attach to Form 990. Department of the Treasury 0- Information about Schedule H (Form 990) and its instructions is at Ope n Internal Revenue Service I Inspection Name of the organization Employer identification number ADVENTIST HEALTHCARE INC Financial Assistance and Certain Other Community Benefits at Cost la Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a b If "Yes," was it a written policy? lb Yes 2 If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year F Applied uniformly to all hospital facilities F Applied uniformly to most hospital facilities r Generally tailored to individual hospital facilities 3 Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization ' s patients during the tax year la Yes I Yes No a Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care? If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care F 100% F 150% F 2000/o F Other % b Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate which of the following was the family income limit for eligibility for discounted care F 200% F 250% F 300% F 350% F 400% F Other % c If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care 3a 3b Yes Yes 4 Did the organization ' s financial assistance policy that applied to the largest number of its patients during the tax yea r provide for free or discounted care to the " medically indigent"? 4 Yes 5a Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? 5a Yes b If "Yes," did the organization ' s financial assistance expenses exceed the budgeted amount? 5b No c If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted care to a patient who was eligibile for free or discounted care? 5c 6a Did the organization prepare a community benefit report during the tax year? 6a Yes b If "Yes," did the organization make it available to the public? 6b Yes Complete the following table using the worksheets provided in the Schedule H instructions Do not submit these worksheets with the Schedule H 7 Financial Assistance and Certain Other Community Benefits at Cost Financial Assistance and Means - Tested Government Programs (a) Number of Ob Persons ( c) Total communit y Od Direct offsetting (e) Net community benefit (f) Percent of activities or served benefit expense revenue expense total expense programs (optional) (optional) a Financial Assistance at cost (from Worksheet 1). 14,369,500 14,369, % b Medicaid (from Worksheet 3, column a)... 15,415,414 13,182,107 2,233, % c Costs of other means-tested government programs (from Worksheet 3, column b) d Total Financial Assistance and Means-Tested Government Programs 29,784,914 13,182,107 16,602, % Other Benefits e Community health improvement services and community benefit operations (from Worksheet 4). 10,238, ,012 10,047, % f Health professions education (from Worksheet 5). 1,906,606 18,538 1,888, % g Subsidized health services (from Worksheet 6). 32,138, ,458 31,586, % h Research (from Worksheet 7) 1,101, , , % Cash and in-kind contributions for community benefit (from Worksheet 8) 1,570,829 1,570, % j Total. Other Benefits. 46,956,513 1,128,039 45,828, % k Total. Add lines 7d and 7j 76,741,427 14,310,146 62,431, For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat N o 50192T Schedule H (Form 990) 2014

33 Schedule H (Form 990) 2014 Schedule H (Form 990) 2014 Page 2 Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves- (a) Number of (b) Persons (c) Total community (d) Direct offsetting (e) Net community (f) Percent of activities or programs (optional) served (optional) building expense revenue building expense total expense 1 Ph y sical im p rovements and housing 5,331 1,687 3,644 0 % 2 Economic development 3 Communit y su pp ort 293, , % 4 Environmental improvements 5 Leadership development and training for community members 6 Coalition building 177,202 6, , % 7 Community health improvement advocacy 2,160,573 2,160, % 8 Workforce development 9 Other 10 Total 2,636,601 8,332 2,628, % Ill:M.2111 Bad Debt, Medicare, & Collection Practices Section A. Bad Debt Expense Yes No 1 Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No 15? Yes 2 Enter the amount of the organization's bad debt expense Explain in Part VI the methodology used by the organization to estimate this amount 2 34,323,516 3 Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit 3 4 Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements Section B. Medicare 5 Entertotal revenue received from Medicare (including DSH and IME) ,582,514 6 Enter Medicare allowable costs of care relating to payments on line ,235,802 7 Subtract line 6 from line 5 This is the surplus (or shortfall). 7 44,346,712 8 Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6 Check the box that describes the method used F Cost accounting system F Cost to charge ratio F Other Section C. Collection Practices 9a Did the organization have a written debt collection policy during the tax year?. b If "Yes," did the organization's collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI b Yes ENOM Management Companies and Joint Ventures (owned 10%%o or more by officers, directors, trustees, key employees, and physicians-see inctri irtinnc) (a) Name of entity (b) Description of primary activity of entity 1 1 GERMANTOWN OUTPATIENT IMAGING LLC (c) Organization's profit % or stock ownership % (d) Officers, directors, trustees, or key employees' profit % or stock ownership (e) Physicians' profit % or stock ownership OUTPATIENT IMAGING CENTER % % 2 2 MID-ATLANTIC PRIMARY CARE ACO LLC MEDICARE SHARED SAVINGS PLAN ACO % % 3 3 PREMIER MEDICAL NETWORK INC PHYSICAN HOSPITAL ORGANIZATION % %

34 Schedule H (Form 990) 2014 Page 2 Facility Information Section A. Hospital Facilities -^ s CD - m 0 (list in order of size from largest to smallest-see instructions) o CL 0 a How many hospital facilities did the 5 ( -0 organization operate during the tax year? a 6 'U Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate a hospital organization that operates the hospital facility) Other (describe) Facility reporting group See Additional Data Table Schedule H (Form 990) 2014

35 Schedule H (Form 990) 2014 Page 2 Facility Information (continued) Section B. Facility Policies and Practices (Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A) SHADY GROVE MEDICAL CENTER Name of hospital facility or letter of facility reporting group Line number of hospital facility, or line numbers of hospital facilities in a facility reporting group (from Part V, Section A): Health Needs Assessment 1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year? Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If"Yes," provide details of the acquisition in Section C During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line Yes a b If "Yes," indicate what the CHNA report describes (check all that apply) I A definition of the community served by the hospital facility I Demographics of the community c 7 Existing health care facilities and resources within the community that are available to respond to the health needs of the community d e f I How data was obtained F The significant health needs of the community 7 Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups g I The process for identifying and prioritizing community health needs and services to meet the community health needs h I The process for consulting with persons representing the community's interests i I Information gaps that limit the hospital facility's ability to assess the community's health needs j 1 Other (describe in Section C) 4 Indicate the tax year the hospital facility last conducted a CHNA In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted Yes 6a Was the hospital facility's CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C a No b Was the hospital facility's CHNA conducted with one or more organizations other than hospital facilities?" If "Yes," list the other organizations in Section C b No 7 Did the hospital facility make its CHNA report widely available to the public? Yes If "Yes," indicate how the CHNA report was made widely available ( check all that apply) F Hospital facility' s website ( list url ) SEE URL ON SECTIO N C 1 Other website ( list url) F Made a paper copy available for public inspection without charge at the hospital facility F Other ( describe in Section C) 8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs identified through its most recently conducted CHNA? If "No," skip to line Indicate the tax year the hospital facility last adopted an implementation strategy Is the hospital facility's most recently adopted implementation strategy posted on a website?... If "Yes" ( list url ) SEE URL ON SECTION C If "No," is the hospital facility's most recently adopted implementation strategy attached to this return? bl I No 11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed 12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? c If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $ es No No No Schedule H (Form 990) 2014

36 Schedule H (Form 990) 2014 Page 2 Facility Information (continued) SHADY GROVE MEDICAL CENTER Name of hospital facility or letter of facility reporting group Financial Assistance Policy (FAP) Did the hospital facility have in place during the tax year a written financial assistance policy that 13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes If"Yes," indicate the eligibility criteria explained in the FAP a F Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of % and FPG family income limit for eligibility for discounted care of % b F Income level other than FPG (describe in Section C) c F Asset level d F Medical indigency e F Insurance status f F Underinsurance discount g F Residency h F Other (describe in Section C) 14 Explained the basis for calculating amounts charged to patients? Yes 15 Explained the method for applying for financial assistance? Yes If"Yes," indicate how the hospital facility's FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply) a I Described the information the hospital facility may require an individual to provide as part of his or her application b I Described the supporting documentation the hospital facility may require an individual to submit as part of his or her application c I Provided the contact information of hospital facility staff who can provide an individual with information about the d FAP and FAP application process 1 Provided the contact information of nonprofit organizations or government agencies that may be sources of assistance with FAP applications e 1 Other(describe in Section C) 16 Included measures to publicize the policy within the community served by the hospital facility? Yes If "Yes," indicate how the hospital facility publicized the policy (check all that apply) a I The FAP was widely available on a website (list url) b I The FAP application form was widely available on a website (list url) c F A plain language summary of the FAP was widely available on a website (list url) Yes I No d F The FAP was available upon request and without charge (in public locations in the hospital facility and by mail) e 7 The FAP application form was available upon request and without charge (in public locations in the hospital facility and by mail) f I A plain language summary of the FAP was available upon request and without charge (in public locations in the g hospital facility and by mail) I Notice of availability of the FAP was conspicuously displayed throughout the hospital facility h F Notified members of the community who are most likely to require financial assistance about availability of the FAP i I Other (describe in Section C) Billing and Collections 17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment? Yes 18 C heck all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual's eligibility under the facility's FAP a 1 Reporting to credit agency(ies) b 1 Selling an individual's debt to another party c 1 Actions that require a legal orjudicial process d 1 Other similar actions (describe in Section C) e I None of these actions or other similar actions were permitted Schedule H (Form 990) 2014

37 Schedule H (Form 990) 2014 Page 2 Facility Information (continued) Name of hospital facility or letter of facility reporting group SHADY GROVE MEDICAL CENTER 19 Did the hospital facility or other authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual's eligibility under the facility's FAP? No a If "Yes," check all actions in which the hospital facility or a third party engaged F Reporting to credit agency(ies) b F Selling an individual's debt to another party c F Actions that require a legal orjudicial process d F Other similar actions (describe in Section C) 20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18 (check all that apply) a F Notified individuals of the financial assistance policy on admission b F Notified individuals of the financial assistance policy prior to discharge c F Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals' bills d F Documented its determination of whether individuals were eligible for financial assistance under the hospital facility's financial assistance policy e F Other (describe in Section C) f F None of these efforts were made Policy Relating to Emergency Medical Care 21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility's financial assistance policy? Yes If "No," indicate why a 1 The hospital facility did not provide care for any emergency medical conditions b 1 The hospital facility's policy was not in writing c 1 The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C) d 1 Other (describe in Section C) Charges to Individuals Eligible for Assistance Under the FAP (FAP - Eligible Individuals) 22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FA P- eligible individuals for emergency or other medically necessary care a The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged b The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged c 1 The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged d I Other (describe in Section C) 23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? No If "Yes," explain in Section C 24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? No If "Yes," explain in Section C No Schedule H (Form 990) 2014

38 Schedule H (Form 990) 2014 Page 2 Facility Information (continued) Section B. Facility Policies and Practices (Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A) WASHINGTON ADVENTIST HOSPITAL Name of hospital facility or letter of facility reporting group Line number of hospital facility, or line numbers of hospital facilities in a facility reporting group (from Part V, Section A): Health Needs Assessment 1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year? Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If"Yes," provide details of the acquisition in Section C During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line Yes a b If "Yes," indicate what the CHNA report describes (check all that apply) I A definition of the community served by the hospital facility I Demographics of the community c 7 Existing health care facilities and resources within the community that are available to respond to the health needs of the community d e f I How data was obtained F The significant health needs of the community 7 Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups g I The process for identifying and prioritizing community health needs and services to meet the community health needs h I The process for consulting with persons representing the community's interests i I Information gaps that limit the hospital facility's ability to assess the community's health needs j 1 Other (describe in Section C) 4 Indicate the tax year the hospital facility last conducted a CHNA In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted Yes 6a Was the hospital facility's CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C a No b Was the hospital facility's CHNA conducted with one or more organizations other than hospital facilities?" If "Yes," list the other organizations in Section C b No 7 Did the hospital facility make its CHNA report widely available to the public? Yes If "Yes," indicate how the CHNA report was made widely available (check all that apply) F Hospital facility' s website ( list url ) SEE URL ON SECTIO N C 1 Other website ( list url) F Made a paper copy available for public inspection without charge at the hospital facility F Other ( describe in Section C) 8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs identified through its most recently conducted CHNA? If "No," skip to line Indicate the tax year the hospital facility last adopted an implementation strategy Is the hospital facility's most recently adopted implementation strategy posted on a website?... If "Yes" ( list url ) SEE URL ON SECTION C If "No," is the hospital facility's most recently adopted implementation strategy attached to this return? bl I No 11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed 12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? c If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $ es No No No Schedule H (Form 990) 2014

39 Schedule H (Form 990) 2014 Page 2 Facility Information (continued) WASHINGTON ADVENTIST HOSPITAL Name of hospital facility or letter of facility reporting group Financial Assistance Policy (FAP) Did the hospital facility have in place during the tax year a written financial assistance policy that 13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes If"Yes," indicate the eligibility criteria explained in the FAP a F Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of % and FPG family income limit for eligibility for discounted care of % b F Income level other than FPG (describe in Section C) c F Asset level d F Medical indigency e F Insurance status f F Underinsurance discount g F Residency h F Other (describe in Section C) 14 Explained the basis for calculating amounts charged to patients? Yes 15 Explained the method for applying for financial assistance? Yes If"Yes," indicate how the hospital facility's FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply) a I Described the information the hospital facility may require an individual to provide as part of his or her application b I Described the supporting documentation the hospital facility may require an individual to submit as part of his or her application c I Provided the contact information of hospital facility staff who can provide an individual with information about the d FAP and FAP application process 1 Provided the contact information of nonprofit organizations or government agencies that may be sources of assistance with FAP applications e 1 Other(describe in Section C) 16 Included measures to publicize the policy within the community served by the hospital facility? Yes If "Yes," indicate how the hospital facility publicized the policy (check all that apply) a I The FAP was widely available on a website (list url) b I The FAP application form was widely available on a website (list url) c F A plain language summary of the FAP was widely available on a website (list url) Yes I No d F The FAP was available upon request and without charge (in public locations in the hospital facility and by mail) e 7 The FAP application form was available upon request and without charge (in public locations in the hospital facility and by mail) f I A plain language summary of the FAP was available upon request and without charge (in public locations in the g hospital facility and by mail) I Notice of availability of the FAP was conspicuously displayed throughout the hospital facility h F Notified members of the community who are most likely to require financial assistance about availability of the FAP i I Other (describe in Section C) Billing and Collections 17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment? Yes 18 C heck all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual's eligibility under the facility's FAP a 1 Reporting to credit agency(ies) b 1 Selling an individual's debt to another party c 1 Actions that require a legal orjudicial process d 1 Other similar actions (describe in Section C) e I None of these actions or other similar actions were permitted Schedule H (Form 990) 2014

40 Schedule H (Form 990) 2014 Page 2 Facility Information (continued) Name of hospital facility or letter of facility reporting group WASHINGTON ADVENTIST HOSPITAL 19 Did the hospital facility or other authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual's eligibility under the facility's FAP? No a If "Yes," check all actions in which the hospital facility or a third party engaged F Reporting to credit agency(ies) b F Selling an individual's debt to another party c F Actions that require a legal orjudicial process d F Other similar actions (describe in Section C) 20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18 (check all that apply) a F Notified individuals of the financial assistance policy on admission b F Notified individuals of the financial assistance policy prior to discharge c F Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals' bills d F Documented its determination of whether individuals were eligible for financial assistance under the hospital facility's financial assistance policy e F Other (describe in Section C) f F None of these efforts were made Policy Relating to Emergency Medical Care 21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility's financial assistance policy? Yes If "No," indicate why a 1 The hospital facility did not provide care for any emergency medical conditions b 1 The hospital facility's policy was not in writing c 1 The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C) d 1 Other (describe in Section C) Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals) 22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FA P- eligible individuals for emergency or other medically necessary care a The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged b The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged c 1 The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged d I Other (describe in Section C) 23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? No If "Yes," explain in Section C 24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? No If "Yes," explain in Section C No Schedule H (Form 990) 2014

41 Schedule H (Form 990) 2014 Page 2 Facility Information (continued) Section B. Facility Policies and Practices (Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A) HACKETTSTOWN COMMUNITY HOSPITAL Name of hospital facility or letter of facility reporting group Line number of hospital facility, or line numbers of hospital facilities in a facility reporting group (from Part V, Section A): Health Needs Assessment 1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year? Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If"Yes," provide details of the acquisition in Section C During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line Yes a b If "Yes," indicate what the CHNA report describes (check all that apply) I A definition of the community served by the hospital facility I Demographics of the community c 7 Existing health care facilities and resources within the community that are available to respond to the health needs of the community d e f I How data was obtained F The significant health needs of the community 7 Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups g I The process for identifying and prioritizing community health needs and services to meet the community health needs h I The process for consulting with persons representing the community's interests i I Information gaps that limit the hospital facility's ability to assess the community's health needs j 1 Other (describe in Section C) 4 Indicate the tax year the hospital facility last conducted a CHNA In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted Yes 6a Was the hospital facility's CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C a b Was the hospital facility's CHNA conducted with one or more organizations other than hospital facilities?" If "Yes," list the other organizations in Section C b Yes 7 Did the hospital facility make its CHNA report widely available to the public? Yes If "Yes," indicate how the CHNA report was made widely available (check all that apply) a F Hospital facility's website (list url) HTTP //WWW HRMCNJ ORG b 1 Other website (list url) c F Made a paper copy available for public inspection without charge at the hospital facility d 1 Other (describe in Section C) 8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs Yes identified through its most recently conducted CHNA? If "No," skip to line Indicate the tax year the hospital facility last adopted an implementation strategy Is the hospital facility's most recently adopted implementation strategy posted on a website? ^n vow No No No a If "Yes" (list url) HTTP //WWW HRMCNJ ORG b I f "No," is the hospital facility's most recently adopted implementation strategy attached to this return? b No 11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed 12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? c If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $ Schedule H (Form 990) 2014

42 Schedule H (Form 990) 2014 Page 2 Facility Information (continued) HACKETTSTOWN COMMUNITY HOSPITAL Name of hospital facility or letter of facility reporting group Financial Assistance Policy (FAP) Did the hospital facility have in place during the tax year a written financial assistance policy that 13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes If"Yes," indicate the eligibility criteria explained in the FAP a F Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of % and FPG family income limit for eligibility for discounted care of % b F Income level other than FPG (describe in Section C) c d e f g F' Asset level F' Medical indigency I Insurance status 7 Underinsurance discount F' Residency h F' Other (describe in Section C) 14 Explained the basis for calculating amounts charged to patients? Yes 15 Explained the method for applying for financial assistance? Yes If"Yes," indicate how the hospital facility's FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply) a I Described the information the hospital facility may require an individual to provide as part of his or her application b I Described the supporting documentation the hospital facility may require an individual to submit as part of his or her application c I Provided the contact information of hospital facility staff who can provide an individual with information about the d FAP and FAP application process I Provided the contact information of nonprofit organizations or government agencies that may be sources of assistance with FAP applications e 1' Other(describe in Section C) 16 Included measures to publicize the policy within the community served by the hospital facility? Yes If "Yes," indicate how the hospital facility publicized the policy (check all that apply) a 1' The FAP was widely available on a website (list url) b 1 The FAP application form was widely available on a website (list url) c F A plain language summary of the FAP was widely available on a website (list url) Yes I No d F The FAP was available upon request and without charge (in public locations in the hospital facility and by mail) e 7 The FAP application form was available upon request and without charge (in public locations in the hospital facility and by mail) f I A plain language summary of the FAP was available upon request and without charge (in public locations in the g hospital facility and by mail) I Notice of availability of the FAP was conspicuously displayed throughout the hospital facility h F' Notified members of the community who are most likely to require financial assistance about availability of the FAP i F' Other (describe in Section C) Billing and Collections 17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment? Yes 18 C heck all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual's eligibility under the facility's FAP a I' Reporting to credit agency(ies) b I' Selling an individual's debt to another party c I' Actions that require a legal orjudicial process d I' Other similar actions (describe in Section C) e I None of these actions or other similar actions were permitted Schedule H (Form 990) 2014

43 Schedule H (Form 990) 2014 Page 2 Facility Information (continued) Name of hospital facility or letter of facility reporting group HACKETTSTOWN COMMUNITY HOSPITAL 19 Did the hospital facility or other authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual's eligibility under the facility's FAP? No a If "Yes," check all actions in which the hospital facility or a third party engaged F Reporting to credit agency(ies) b F Selling an individual's debt to another party c F Actions that require a legal orjudicial process d F Other similar actions (describe in Section C) 20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18 (check all that apply) a F Notified individuals of the financial assistance policy on admission b 1 Notified individuals of the financial assistance policy prior to discharge c F Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals' bills d F Documented its determination of whether individuals were eligible for financial assistance under the hospital facility's financial assistance policy e F Other (describe in Section C) f F None of these efforts were made Policy Relating to Emergency Medical Care 21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility's financial assistance policy? Yes If "No," indicate why a 1 The hospital facility did not provide care for any emergency medical conditions b 1 The hospital facility's policy was not in writing c 1 The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C) d 1 Other (describe in Section C) Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals) 22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FA P- eligible individuals for emergency or other medically necessary care a The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged b The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged c F The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged d 1 Other (describe in Section C) 23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? No If "Yes," explain in Section C 24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? No If "Yes," explain in Section C No Schedule H (Form 990) 2014

44 Schedule H (Form 990) 2014 Page 2 Facility Information (continued) Section B. Facility Policies and Practices (Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A) ADVENTIST REHABILITATION HOSPITAL OF MAR Name of hospital facility or letter of facility reporting group Line number of hospital facility, or line numbers of hospital facilities in a facility reporting group (from Part V, Section A): Health Needs Assessment 1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year? Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If"Yes," provide details of the acquisition in Section C During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line Yes a b If "Yes," indicate what the CHNA report describes (check all that apply) I A definition of the community served by the hospital facility I Demographics of the community c 7 Existing health care facilities and resources within the community that are available to respond to the health needs of the community d e f I How data was obtained F The significant health needs of the community 7 Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups g I The process for identifying and prioritizing community health needs and services to meet the community health needs h I The process for consulting with persons representing the community's interests i I Information gaps that limit the hospital facility's ability to assess the community's health needs j 1 Other (describe in Section C) 4 Indicate the tax year the hospital facility last conducted a CHNA In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted Yes 6a Was the hospital facility's CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C a No b Was the hospital facility's CHNA conducted with one or more organizations other than hospital facilities?" If "Yes," list the other organizations in Section C b No 7 Did the hospital facility make its CHNA report widely available to the public? Yes If "Yes," indicate how the CHNA report was made widely available ( check all that apply) F Hospital facility' s website ( list url ) SEE URL ON SECTIO N C 1 Other website ( list url) F Made a paper copy available for public inspection without charge at the hospital facility F Other ( describe in Section C) 8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs identified through its most recently conducted CHNA? If "No," skip to line Indicate the tax year the hospital facility last adopted an implementation strategy Is the hospital facility's most recently adopted implementation strategy posted on a website?... If "Yes" ( list url ) SEE URL ON SECTION C If "No," is the hospital facility's most recently adopted implementation strategy attached to this return? bl I No 11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed 12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? c If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $ es No No No Schedule H (Form 990) 2014

45 Schedule H (Form 990) 2014 Page 2 Facility Information (continued) ADVENTIST REHABILITATION HOSPITAL OF MAR Name of hospital facility or letter of facility reporting group Financial Assistance Policy (FAP) Did the hospital facility have in place during the tax year a written financial assistance policy that 13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes If"Yes," indicate the eligibility criteria explained in the FAP a F Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of % and FPG family income limit for eligibility for discounted care of % b F Income level other than FPG (describe in Section C) c F Asset level d F Medical indigency e F Insurance status f F Underinsurance discount g F Residency h F Other (describe in Section C) 14 Explained the basis for calculating amounts charged to patients? Yes 15 Explained the method for applying for financial assistance? Yes If"Yes," indicate how the hospital facility's FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply) a I Described the information the hospital facility may require an individual to provide as part of his or her application b I Described the supporting documentation the hospital facility may require an individual to submit as part of his or her application c I Provided the contact information of hospital facility staff who can provide an individual with information about the d FAP and FAP application process 1 Provided the contact information of nonprofit organizations or government agencies that may be sources of assistance with FAP applications e 1 Other(describe in Section C) 16 Included measures to publicize the policy within the community served by the hospital facility? Yes If "Yes," indicate how the hospital facility publicized the policy (check all that apply) a I The FAP was widely available on a website (list url) b I The FAP application form was widely available on a website (list url) c F A plain language summary of the FAP was widely available on a website (list url) Yes I No d F The FAP was available upon request and without charge (in public locations in the hospital facility and by mail) e 7 The FAP application form was available upon request and without charge (in public locations in the hospital facility and by mail) f I A plain language summary of the FAP was available upon request and without charge (in public locations in the g hospital facility and by mail) I Notice of availability of the FAP was conspicuously displayed throughout the hospital facility h F Notified members of the community who are most likely to require financial assistance about availability of the FAP i I Other (describe in Section C) Billing and Collections 17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment? Yes 18 C heck all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual's eligibility under the facility's FAP a 1 Reporting to credit agency(ies) b 1 Selling an individual's debt to another party c 1 Actions that require a legal orjudicial process d 1 Other similar actions (describe in Section C) e I None of these actions or other similar actions were permitted Schedule H (Form 990) 2014

46 Schedule H (Form 990) 2014 Page 2 Facility Information (continued) Name of hospital facility or letter of facility reporting group ADVENTIST REHABILITATION HOSPITAL OF MAR 19 Did the hospital facility or other authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual's eligibility under the facility's FAP? No a If "Yes," check all actions in which the hospital facility or a third party engaged F Reporting to credit agency(ies) b F Selling an individual's debt to another party c F Actions that require a legal orjudicial process d F Other similar actions (describe in Section C) 20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18 (check all that apply) a F Notified individuals of the financial assistance policy on admission b F Notified individuals of the financial assistance policy prior to discharge c F Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals' bills d F Documented its determination of whether individuals were eligible for financial assistance under the hospital facility's financial assistance policy e F Other (describe in Section C) f F None of these efforts were made Policy Relating to Emergency Medical Care 21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility's financial assistance policy? Yes If "No," indicate why a 1 The hospital facility did not provide care for any emergency medical conditions b 1 The hospital facility's policy was not in writing c 1 The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C) d 1 Other (describe in Section C) Charges to Individuals Eligible for Assistance Under the FAP (FAP - Eligible Individuals) 22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FA P- eligible individuals for emergency or other medically necessary care a The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged b The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged c 1 The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged d I Other (describe in Section C) 23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? No If "Yes," explain in Section C 24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? No If "Yes," explain in Section C No Schedule H (Form 990) 2014

47 Schedule H (Form 990) 2014 Page 2 Facility Information (continued) Section B. Facility Policies and Practices (Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A) BEHAVIORAL HEALTH&WELLNESS SERVICES-ROCK Name of hospital facility or letter of facility reporting group Line number of hospital facility, or line numbers of hospital facilities in a facility reporting group (from Part V, Section A): Health Needs Assessment 1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year? Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If"Yes," provide details of the acquisition in Section C During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line Yes a b If "Yes," indicate what the CHNA report describes (check all that apply) I A definition of the community served by the hospital facility I Demographics of the community c 7 Existing health care facilities and resources within the community that are available to respond to the health needs of the community d e f I How data was obtained F The significant health needs of the community 7 Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups g I The process for identifying and prioritizing community health needs and services to meet the community health needs h I The process for consulting with persons representing the community's interests i I Information gaps that limit the hospital facility's ability to assess the community's health needs j 1 Other (describe in Section C) 4 Indicate the tax year the hospital facility last conducted a CHNA In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted Yes 6a Was the hospital facility's CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C a No b Was the hospital facility's CHNA conducted with one or more organizations other than hospital facilities?" If "Yes," list the other organizations in Section C b No 7 Did the hospital facility make its CHNA report widely available to the public? Yes If "Yes," indicate how the CHNA report was made widely available (check all that apply) F Hospital facility' s website ( list url ) SEE URL ON SECTIO N C 1 Other website ( list url) F Made a paper copy available for public inspection without charge at the hospital facility F Other (describe in Section C) 8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs identified through its most recently conducted CHNA? If "No," skip to line Indicate the tax year the hospital facility last adopted an implementation strategy Is the hospital facility's most recently adopted implementation strategy posted on a website?... If "Yes" ( list url ) SEE URL ON SECTION C If "No," is the hospital facility's most recently adopted implementation strategy attached to this return? bl I No 11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed 12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? c If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $ es No No No Schedule H (Form 990) 2014

48 Schedule H (Form 990) 2014 Page 2 Facility Information (continued) BEHAVIORAL HEALTH&WELLNESS SERVICES-ROCK Name of hospital facility or letter of facility reporting group Financial Assistance Policy (FAP) Did the hospital facility have in place during the tax year a written financial assistance policy that 13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes If"Yes," indicate the eligibility criteria explained in the FAP a F Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of % and FPG family income limit for eligibility for discounted care of % b F Income level other than FPG (describe in Section C) c F Asset level d F Medical indigency e F Insurance status f F Underinsurance discount g F Residency h F Other (describe in Section C) 14 Explained the basis for calculating amounts charged to patients? Yes 15 Explained the method for applying for financial assistance? Yes If"Yes," indicate how the hospital facility's FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply) a I Described the information the hospital facility may require an individual to provide as part of his or her application b I Described the supporting documentation the hospital facility may require an individual to submit as part of his or her application c I Provided the contact information of hospital facility staff who can provide an individual with information about the d FAP and FAP application process 1 Provided the contact information of nonprofit organizations or government agencies that may be sources of assistance with FAP applications e 1 Other(describe in Section C) 16 Included measures to publicize the policy within the community served by the hospital facility? Yes If "Yes," indicate how the hospital facility publicized the policy (check all that apply) a I The FAP was widely available on a website (list url) b I The FAP application form was widely available on a website (list url) c F A plain language summary of the FAP was widely available on a website (list url) Yes I No d F The FAP was available upon request and without charge (in public locations in the hospital facility and by mail) e 7 The FAP application form was available upon request and without charge (in public locations in the hospital facility and by mail) f I A plain language summary of the FAP was available upon request and without charge (in public locations in the g hospital facility and by mail) I Notice of availability of the FAP was conspicuously displayed throughout the hospital facility h F Notified members of the community who are most likely to require financial assistance about availability of the FAP i I Other (describe in Section C) Billing and Collections 17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment? Yes 18 C heck all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual's eligibility under the facility's FAP a 1 Reporting to credit agency(ies) b 1 Selling an individual's debt to another party c 1 Actions that require a legal orjudicial process d 1 Other similar actions (describe in Section C) e I None of these actions or other similar actions were permitted Schedule H (Form 990) 2014

49 Schedule H (Form 990) 2014 Page 2 Facility Information (continued) Name of hospital facility or letter of facility reporting group BEHAVIORAL HEALTH&WELLNESS SERVICES-ROCK 19 Did the hospital facility or other authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual's eligibility under the facility's FAP? No a If "Yes," check all actions in which the hospital facility or a third party engaged F Reporting to credit agency(ies) b F Selling an individual's debt to another party c F Actions that require a legal orjudicial process d F Other similar actions (describe in Section C) 20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18 (check all that apply) a F Notified individuals of the financial assistance policy on admission b F Notified individuals of the financial assistance policy prior to discharge c F Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals' bills d F Documented its determination of whether individuals were eligible for financial assistance under the hospital facility's financial assistance policy e F Other (describe in Section C) f F None of these efforts were made Policy Relating to Emergency Medical Care 21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility's financial assistance policy? Yes If "No," indicate why a 1 The hospital facility did not provide care for any emergency medical conditions b 1 The hospital facility's policy was not in writing c 1 The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C) d 1 Other (describe in Section C) Charges to Individuals Eligible for Assistance Under the FAP (FAP - Eligible Individuals) 22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FA P- eligible individuals for emergency or other medically necessary care a The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged b The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged c 1 The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged d I Other (describe in Section C) 23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? No If "Yes," explain in Section C 24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? No If "Yes," explain in Section C No Schedule H (Form 990) 2014

50 Schedule H (Form 990) 2014 Page 2 Facility Information (continued) Section B. Facility Policies and Practices (Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A) BEHAVIORAL HEALTH&WELLNESS SVS-E SHORE Name of hospital facility or letter of facility reporting group Line number of hospital facility, or line numbers of hospital facilities in a facility reporting group (from Part V, Section A): Health Needs Assessment 1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year? Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If"Yes," provide details of the acquisition in Section C During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line Yes a b If "Yes," indicate what the CHNA report describes (check all that apply) I A definition of the community served by the hospital facility I Demographics of the community c 7 Existing health care facilities and resources within the community that are available to respond to the health needs of the community d e f I How data was obtained F The significant health needs of the community 7 Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups g I The process for identifying and prioritizing community health needs and services to meet the community health needs h I The process for consulting with persons representing the community's interests i I Information gaps that limit the hospital facility's ability to assess the community's health needs j 1 Other (describe in Section C) 4 Indicate the tax year the hospital facility last conducted a CHNA In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted Yes 6a Was the hospital facility's CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C a No b Was the hospital facility's CHNA conducted with one or more organizations other than hospital facilities?" If "Yes," list the other organizations in Section C b No 7 Did the hospital facility make its CHNA report widely available to the public? Yes If "Yes," indicate how the CHNA report was made widely available ( check all that apply) F Hospital facility' s website ( list url ) SEE URL ON SECTIO N C 1 Other website ( list url) F Made a paper copy available for public inspection without charge at the hospital facility F Other ( describe in Section C) 8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs identified through its most recently conducted CHNA? If "No," skip to line Indicate the tax year the hospital facility last adopted an implementation strategy Is the hospital facility's most recently adopted implementation strategy posted on a website?... If "Yes" (list url ) SEE URL ON SECTION C If "No," is the hospital facility's most recently adopted implementation strategy attached to this return? bl I No 11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed 12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? c If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $ es No No No Schedule H (Form 990) 2014

51 Schedule H (Form 990) 2014 Page 2 Facility Information (continued) BEHAVIORAL HEALTH&WELLNESS SVS-E SHORE Name of hospital facility or letter of facility reporting group Financial Assistance Policy (FAP) Did the hospital facility have in place during the tax year a written financial assistance policy that 13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes If"Yes," indicate the eligibility criteria explained in the FAP a F Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of % and FPG family income limit for eligibility for discounted care of % b F Income level other than FPG (describe in Section C) c F Asset level d F Medical indigency e F Insurance status f F Underinsurance discount g F Residency h F Other (describe in Section C) 14 Explained the basis for calculating amounts charged to patients? Yes 15 Explained the method for applying for financial assistance? Yes If"Yes," indicate how the hospital facility's FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply) a I Described the information the hospital facility may require an individual to provide as part of his or her application b I Described the supporting documentation the hospital facility may require an individual to submit as part of his or her application c I Provided the contact information of hospital facility staff who can provide an individual with information about the d FAP and FAP application process 1 Provided the contact information of nonprofit organizations or government agencies that may be sources of assistance with FAP applications e 1 Other(describe in Section C) 16 Included measures to publicize the policy within the community served by the hospital facility? Yes If "Yes," indicate how the hospital facility publicized the policy (check all that apply) a I The FAP was widely available on a website (list url) b I The FAP application form was widely available on a website (list url) c F A plain language summary of the FAP was widely available on a website (list url) Yes I No d F The FAP was available upon request and without charge (in public locations in the hospital facility and by mail) e 7 The FAP application form was available upon request and without charge (in public locations in the hospital facility and by mail) f I A plain language summary of the FAP was available upon request and without charge (in public locations in the g hospital facility and by mail) I Notice of availability of the FAP was conspicuously displayed throughout the hospital facility h F Notified members of the community who are most likely to require financial assistance about availability of the FAP i I Other (describe in Section C) Billing and Collections 17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment? Yes 18 C heck all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual's eligibility under the facility's FAP a 1 Reporting to credit agency(ies) b 1 Selling an individual's debt to another party c 1 Actions that require a legal orjudicial process d 1 Other similar actions (describe in Section C) e I None of these actions or other similar actions were permitted Schedule H (Form 990) 2014

52 Schedule H (Form 990) 2014 Page 2 Facility Information (continued) Name of hospital facility or letter of facility reporting group BEHAVIORAL HEALTH&WELLNESS SVS-E SHORE 19 Did the hospital facility or other authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual's eligibility under the facility's FAP? No a If "Yes," check all actions in which the hospital facility or a third party engaged F Reporting to credit agency(ies) b F Selling an individual's debt to another party c F Actions that require a legal orjudicial process d F Other similar actions (describe in Section C) 20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18 (check all that apply) a F Notified individuals of the financial assistance policy on admission b F Notified individuals of the financial assistance policy prior to discharge c F Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals' bills d F Documented its determination of whether individuals were eligible for financial assistance under the hospital facility's financial assistance policy e F Other (describe in Section C) f F None of these efforts were made Policy Relating to Emergency Medical Care 21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility's financial assistance policy? Yes If "No," indicate why a 1 The hospital facility did not provide care for any emergency medical conditions b 1 The hospital facility's policy was not in writing c 1 The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C) d 1 Other (describe in Section C) Charges to Individuals Eligible for Assistance Under the FAP (FAP - Eligible Individuals) 22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FA P- eligible individuals for emergency or other medically necessary care a The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged b The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged c 1 The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged d I Other (describe in Section C) 23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? No If "Yes," explain in Section C 24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? No If "Yes," explain in Section C No Schedule H (Form 990) 2014

53 Schedule H (Form 990) 2014 Page 6 2 Facility Information (continued) Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 161, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facilit y line number from Part V, Section A ( "A, 1, " "A, 4, "'%B, 2, " B 3, " etc. ) and name of hos p ital facilit y. Form and Line Reference See Additional Data Table Explanation Schedule H (Form 990) 2014

54 Schedule H (Form 990) 2014 Page 8 2 MVIVI-Facility Information (continued) Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year? 7 Name and address T yp e of Facility ( describe ) 1 ADVENTIST BEHAVIORAL HEALTH AT ANNE ARUN BEHAVIORAL TREATMENT FACILITY 14 ROMIG DRIVE CROWNSVILLE,MD REGINALD S LOURIE CENTER FOR INFANTS AN INFANT AND YOUNG CHILDREN DEVELOPMENT CARE ACADEMY WAY CENTER ROCKVILLE MD SHADY GROVE ADVENTIST RADIATION ONCOLOGY OUTPATIENT CANCER TREATMENT CENTER SENECA MEADOWS PARKWAY GERMANTOWN,MD ADVENTIST GERMANTOWN EMERGENCY CENTER FREE STANDING ER CENTER GERMANTOWN ROAD GERMANTOWN MD ADVENTIST HOME HEALTH SERVICES HOME HEALTH SERVICES BORNEFIELD WAY SUITE B SILVER SPRING,MD ADVENTIST REHABILITATION INC REHABILITATION 831 E UNIVERSITY BOULEVARD 14 SILVER SPRING MD ADVENTIST HEALTHCARE URGENT CARE CENTERS URGENT CARE CENTER 750 ROCKVILLE PIKE ROCKVILLE,MD Schedule H (Form 990) 2014

55 Schedule H (Form 990) 2014 Page 9 2 Supplemental Information Provide the following information 1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7, Part II and Part III, lines 2, 3, 4, 8 and 9b 2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B 3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization's financial assistance policy 4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves 5 Promotion of community health. Provide any other information important to describing how the organization's hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e g, open medical staff, community board, use of surplus funds, etc ) 6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served 7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report Form and Line Reference PART I, LINE 3C Explanation IN CONSIDERATION FOR FINANCIAL ASSISTANCE TO OUR PATIENTS, AHC ALSO CONSIDERS CIRCUMSTANCES BEYOND INCOME OUR CIRCUMSTANCES COULD INCLUDE HE NEEDS OF THE PATIENT AND/OR FAMILY AND OTHER FINANCIAL RESOURCES IT IS OUR MISSION TO PROVIDE NECESSARY MEDICAL CARE TO THOSE WHO ARE UNABLE TO PAY FOR THAT CARE IN GENERAL, AHC HAS 15 LEVELS OF FINANCIAL ASSISTANCE THEY RE AS FOLLOW - ANNUAL INCOME <= 1 OX OF FPL, 0% PATIENT RESPONSIBILITY- ANNUAL INCOME > 1 OOX AND <= 1 25X OF FPL, 0% PATIENT RESPONSIBILITY- ANNUAL INCOME > 1 25X AND <= 1 50X OF FPL, 0% PATIENT RESPONSIBILITY- ANNUAL INCOME > 1 50X AND <= 1 75X OF FPL, 0% PATIENT RESPONSIBILITY- ANNUAL INCOME > 1 75X AND <= 2 OOX OF FPL, 0% PATIENT RESPONSIBILITY- ANNUAL INCOME > 2 OOX AND <= 2 25X OF FPL, 10% PATIENT RESPONSIBILITY- ANNUAL INCOME > 2 25X AND <= 2 50X OF FPL, 20% PATIENT RESPONSIBILITY- ANNUAL INCOME > 2 50X AND <=2 75X OF FPL, 30% PATIENT RESPONSIBILITY- ANNUAL INCOME > 2 75X AND <=3 OOX OF FPL, 40% PATIENT RESPONSIBILITY- ANNUAL INCOME > 3 OOX AND <=3 50X OF FPL, 50% PATIENT RESPONSIBILITY- ANNUAL INCOME > 3 50X AND <=4 OOX OF FPL, 60% PATIENT RESPONSIBILITY- ANNUAL INCOME >4 OOX AND <=4 50X OF FPL, 70% PATIENT RESPONSIBILITY- ANNUAL INCOME >4 50X AND <=5 OOX OF FPL, 80% PATIENT RESPONSIBILITY- ANNUAL INCOME > 5 OOX AND <=5 50X OF FPL, 90% PATIENT RESPONSIBILITY- ANNUAL INCOME > 5 50X AND <=6 OOX OF FPL, 95% PATIENT RESPONSIBILITY

56 Form and Line Reference PART I, LINE 7 Explanation MARYLAND'S UNIQUE ALL PAYER SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PROVIDER'S RATES FOR PURPOSES OF COMPLETING DVENTIST HEALTHCARE'S FORM 990, ADJUSTMENTS TO OUR APPROVED RATE ORDER ARE NOT PRESENTED AS AN OFFSET TO THE LEVEL OF UNCOMPENSATED CARE WE PROVIDED FOR THE REPORTING OF COMMUNITY BENEFIT,AHC USED MEDICARE'S COST REPORT METHODOLOGY OF COST TO CHARGE RATIO THE COST TO CHARGE RATIO WAS USED TO REDUCE THE YEARLY CHARITY CARE PROVISION FROM CHARGE TO COST IN ADDITION, AHC ALSO CONSIDERED GOVERNMENT ASSESSMENTS THROUGH THE STATE'S HEALTH SERVICE COST REGULATORY AGENCY AND OTHER RELATED STATE GOVERNMENT GENCIES AHC COMPUTED THE COMMUNITY BENEFITS BY ITS HOSPITAL FACILITIES AND GGREGATED THE TOTAL

57 Form and Line Reference PART I, LINE 7G Explanation SUBSIDIZED HEALTH SERVICES INCLUDED PAYMENTS FOR NON-EMPLOYED BUT HOSPITAL- BASED PHYSICIANS, NON-RESIDENT HOSPITAL STAFF, HOSPITALISTS, EMERGENCY ON- CALL, OFF-CAMPUS EMERGENCY CENTER, AND WOMEN'S AND CHILDREN'S SERVICES SUBSIDIES

58 Form and Line Reference Explanation PART II, COMMUNITY BUILDING ADVENTIST HEALTHCARE, INC CONTRIBUTED TO NUMEROUS COMMUNITY BUILDING CTIVITIES ACTIVITIES AS PART 0 F FULFILLING ADVENTIST HEALTHCARE'S MISSION ADVENTIST HEALTHCARE'S MISSION IS TO "DEMONST RATE GOD'S CARE BY IMPROVING THE HEALTH OF PEOPLE AND COMMUNITIES THROUGH A MINISTRY OF PH YSICAL, MENTAL AND SPIRITUAL HEALING " ADVENTIST HEALTHCARE GOES BEYOND TRADITIONAL HOSPIT AL CARE TO OFFER EXPERTISE AND RESOURCES THAT HELP STRENGTHEN THE COMMUNITY'S INFRASTRUCTU RE IN A WAY THAT PROMOTES HEALTH AND WELL-BEING IN 2014,A MAJORITY OF ADVENTIST HEALTHCA RE'S COMMUNITY BUILDING ACTIVITIES CONSISTED OF PERFORMING DISASTER PREPAREDNESS ACTIVITI ES, ASSISTING PHYSICIANS IN ESTABLISHING ELECTRONIC MEDICAL RECORDS (EMR) SYSTEMS, SUPPORT ING COMMUNITY ORGANIZATIONS, CONTRIBUTING TO ENVIRONMENTAL IMPROVEMENTS, CREATING HEALTH P ARTNERSHIPS WITHIN THE COMMUNITY, ADVOCATING ON COMMUNITY HEALTH IMPROVEMENTS, PROVIDING P HYSICAL IMPROVEMENTS TO COMMUNITY HOMES, AND PROMOTING WORKFORCE DEVELOPMENT DURING THE EBOLA OUTBREAK IN WEST AFRICA, ADVENTIST HEALTHCARE TOOK MANY MEASURES TO ENSURE OUR CO MMUNITY HOSPITALS WERE READY AND PREPARED TO TREAT A PATIENT WITH EBOLA SYMPTOMS WE FORME DAN EBOLA CORE RESPONSE TEAM, WHICH WERE INVOLVED IN EXTENSIVE AND SPECIALIZED TRAINING SESSIONS THE RESPONSE TEAM MEMBERS INCLUDED NURSES, LAB STAFF, PHYSICIANS, ADMINISTRATIVE SUPERVISORS, ENVIRONMENTAL SERVICES STAFF AND RESPIRATORY THERAPISTS ADVENTIST HEALTHCARE PURCHASED PERSONAL PROTECTIVE EQUIPMENT AND LABORATORY EQUIPMENT AND SUPPLIES TO ENABLE A RESPONSE TO AN INFECTIOUS DISEASE THREAT IN ADDITION, LEADERS FROM OUR ORGANIZATION MET WITH COUNTY AND STATE HEALTH OFFICIALS AND FIRE AND RESCUE REPRESENTATIVES TO DISCUSS STAT EWIDE PLANNING TO CARE FOR CONFIRMED EBOLA CASES ADVOCATING FOR COMMUNITY HEALTH IMPROVEME NTS IS A CORE STRATEGY IN ACHIEVING ADVENTIST HEALTHCARE'S MISSION A PROGRAM THAT ADVENTI ST HEALTHCARE OFFERS, WHICH IS AT THE CORE OF ADVOCATING FOR COMMUNITY HEALTH IMPROVEMENTS, IS AMBULATORY CARE EMR SUPPORT (ACES) THE ACES PROGRAM ASSISTS COMMUNITY PHYSICIANS WIT H THE ACQUISITION AND IMPLEMENTATION OF EMRS EMRS ENHANCE PATIENTS' CARE AND MAKES PRACTI CES MORE EFFICIENT ADVENTIST HEALTHCARE HAS ALSO PARTNERED WITH MARYLAND PATIENT SAFETY CE NTER (MPSC) AND WASHINGTON ADVENTIST UNIVERSITY (WAU)TO IMPROVE PATIENT CARE MPSC'S GOAL, AS A NON-PROFIT ORGANIZATION, IS TO MAKE MARYLAND'S HEALTHCARE THE SAFEST IN THE NATION BY FOCUSING ON THE SYSTEMS OF CARE, REDUCING THE OCCURRENCE OF ADVERSE EVENTS, AND IMPROVI NG THE CULTURE OF PATIENT SAFETY IN MARYLAND'S HOSPITALS WAU IS A CHRIST-CENTERED INSTITU TION OF HIGHER EDUCATION THAT SUPPORTS A CULTURE OF EXCELLENCE WHERE ALL FEEL VALUED AND WHICH HELPS EDUCATE FUTURE HEALTHCARE WORKERS IN SUPPORT OF THE COMMUNITY, ADVENTIST HEALTH CARE HAS ADVOCATED FOR INTERFAITH WORKS, WHICH WORKS TO MEET THE NEEDS OF THE POOR AND HO MELESS IN MONTGOMERY COUNTY, BLACK ROCK CENTER FOR THE ARTS, WHICH ENGAGES THE COMMUNITIES OF UPPER MONTGOMERY COUNTY TO EXPLORE, EXPERIENCE AND CELEBRATE THE ARTS, AND STRATHMORE HALL FOUNDATION, WHICH IS COMMITTED TO MAINTAINING AFFORDABLE AND ACCESSIBLE ARTS PROGRAMS TO THE COMMUNITY ADVENTIST HEALTHCARE HAS BUILT COMMUNITY SUPPORT DIRECTLY WITH LABQUEST,A COMMUNITY GROUP MADE UP OF EASTERN MONTGOMERY COUNTY RESIDENTS AND MEMBERS OF FEDERAL, COUNTY AND STATE AGENCIES THAT CAME TOGETHER WITH A COMMON VISION TO BUILD A VIBRANT COMM UNITY WITH SCIENCE AND HEALTH CARE AS AN INTEGRAL FOUNDATION ADVENTIST HEALTHCARE ALSO SU PPORTS THE CITY OFTAKOMA PARK BY WORKING WITH THE MAYOR AND COUNCIL ON INITIATIVES AND BY FUNDING COMMUNITY EVENTS PARTNERING WITHIN THE COMMUNITY IS IMPORTANT FOR ALLOFADVENTI ST HEALTHCARE BECAUSE IT FOSTERS COMMUNITY HEALTH IMPROVEMENTS AND STRENGTHENS ECONOMIC ST ABILITY IN THE COMMUNITY ADVENTIST HEALTHCARE HAS PARTNERED WITH GREATER SILVER SPRING C HAMBER OF COMMERCE AND IMPACT SILVER SPRING, WHICH BOTH FOSTER COLLABORATIONS, PROMOTE HEA LTHCARE CAREERS AND POLICY ADVOCACY, LEADERSHIP MONTGOMERY, WHICH ENGAGES AND EMERGES DIVE RSE GROUPS OF LEADERS, AND THE MARYLAND HOSPITAL ASSOCIATION, WHICH ADVOCATES FOR MARYLAND 'S HOSPITALS AND HEALTH SYSTEMS ADVENTIST HEALTHCARE HAS PARTNERED WITH OTHER VALUABLE COM PANIES SUCH AS, BIOHEALTH INNOVATION (BHI) AND THE COLUMBIA UNION CONFERENCE OF SEVENTH-DA Y ADVENTISTS (COLUMBIA UNION) BHI'S VISION IS TO TRANSFORM THE CENTRAL MARYLAND REGION IN TO A LEADING GLOBAL BIO-HEALTH ENTREPRENEURIAL AND COMMERCIALIZATION HUB COLUMBIA UNION 0 VERSEES ADVENTIST ORGANIZATIONS IN MARYLAND, VIRGINIA, NEW JERSEY, DELAWARE, AND WASHINGTO N D C TOGETHER WITH ADVENTIST HEALTHCARE, IT HELPS PROMOTE THE IMPORTANCE OF HEALTH AND W ELLNESS THROUGHOUT ITS REGION IN TERMS OF PROVIDING PHYSICAL IMPROVEMENTS, ADVENTIST HEALT HCARE TEAMED UP WITH REBUILDING TOGETHER MONTGOMERY COUNTY TO PROVIDE PHYSICAL IMPROVEMENTS TO HOMES IN THE COMMUNITY REBUILDING TOGETHER BRINGS VOLUNTEERS AND COMMUNITIES TOGETHE R TO IMPROVE THE HOMES AND LIVES OF LOW-INCOME HOM

59 Form and Line Reference Explanation PART II, COMMUNITY BUILDING EOWNERS IN MONTGOMERY COUNTY ADVENTIST HEALTHCARE AS A SYSTEM CTIVITIES CONTINUES TO PROVIDE COMMUNI TY BUILDING ACTIVITIES IN 2015 PROVIDING COMMUNITY BUILDING ACTIVITIES IS ESSENTIAL TO AC HIEVING AND MAINTAINING OUR MISSION

60 Form and Line Reference PART III, LINE 2 Explanation O ESTIMATE THE COST OF BAD DEBT THAT WE HAVE REPORTED ON SCHEDULE H, WE MULTIPLIED THE ORGANIZATION'S COST TO CHARGE RATIO (CCR) TIMES THE BAD DEBT PROVISION THAT HAS BEEN REPORTED IN THE GENERAL LEDGER THE ORGANIZATION'S CCR IS THE QUOTIENT THAT RESULTS WHEN TOTAL COST IS DIVIDED BY TOTAL CHARGES S REFLECTED ON WORKSHEET C PART I OF THE 2014 MEDICARE COST REPORT THE BAD DEBT EXPENSE THAT IS RECORDED IN THE GENERAL LEDGER REFLECTS THE AMOUNT OF PROVISION MANAGEMENT DEEMS NECESSARY TO REPORT PATIENT ACCOUNTS RECEIVABLE AT THEIR NET REALIZABLE VALUE IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, WE ANALYZE PAST HISTORY AND TRENDS FOR EACH MAJOR PAYER AND ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL COLLECTIONS

61 Form and Line Reference PART III, LINE 4 Explanation PATIENT ACCOUNTS RECEIVABLE ARE REPORTED AT NET REALIZABLE VALUE ACCOUNTS RE WRITTEN OFF WHEN THEY ARE DETERMINED TO BE UNCOLLECTIBLE BASED UPON MANAGEMENT'S ASSESSMENT OF INDIVIDUAL ACCOUNTS IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, THE CORPORATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL COLLECTIONS AND PROVISION FOR DOUBTFUL COLLECTIONS FOR PATIENT ACCOUNTS RECEIVABLE SSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE CORPORATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL COLLECTIONS AND PROVISION FOR DOUBTFUL COLLECTIONS, IF NECESSARY FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OFTHE BILL),THE CORPORATION RECORDS A PROVISION FOR DOUBTFUL COLLECTIONS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE TO PAY THE PORTION OFTHEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE THE DIFFERENCE BETWEEN THE BILLED RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST HE ALLOWANCE FOR DOUBTFUL COLLECTIONS

62 Form and Line Reference PART III, LINE 8 Explanation CUTE CARE HOSPITALS IN MARYLAND ARE EXEMPT FROM MEDICARE REIMBURSEMENT METHODOLOGY AND ALL PAYORS (INCLUDING MEDICARE AND MEDICAID) PAY HOSPITALS' CHARGES, WHICH ARE REGULATED BY THE STATE'S HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) SPECIFICALLY, MEDICARE ENJOYS A DISCOUNT OF 6% OF CHARGES WITHOUT AN ADVANCE FUNDING DEPOSIT WITH PROVIDERS THERE SHOULD BE NO SHORTFALL AND THEREFORE NOTHING TO COUNT TOWARD COMMUNITY BENEFIT ADVENTIST HEALTHCARE USES SCHEDULE C OFTHE MEDICARE COST REPORT TO COMPUTE A COST TO CHARGE RATIO USED TO ESTIMATE THE COST OF PROVIDING CARE 0 MEDICARE PATIENTS SINCE THE HSCRC ASSESSES HOSPITALS TO SUBSIDIZE THE STATE'S MEDICAID BUDGET DEFICIT, THESE ASSESSMENTS ARE ALSO COUNTED TOWARD COMMUNITY BENEFITS

63 Form and Line Reference PART III, LINE 9B Explanation ADVENTIST HEALTHCARE PROVIDES QUALITY MEDICAL SERVICES REGARDLESS OF A PATIENT'S ABILITY TO PAY, RACE, CREED, SEX, AGE, NATIONAL ORIGIN OR FINANCIAL STATUS OUR FINANCIAL ASSISTANCE POLICY ENCOURAGES THE PATIENT AND THEIR REPRESENTATIVE TO COOPERATE WITH AND AVAIL THEMSELVES OF ALL AVAILABLE PROGRAMS (INCLUDING MEDICAID, WORKERS COMPENSATION, AND STATE AND LOCAL PROGRAMS) WHICH MIGHT PROVIDE COVERAGE OUR REGISTRATION, FINANCIAL COUNSELORS, CUSTOMER SERVICE, AND COLLECTION STAFF ARE THOROUGHLY FAMILIAR WITH THE CRITERIA AND PROCESS OF FINANCIAL ASSISTANCE FINANCIAL ASSISTANCE PROCESS AND COLLECTION PROTOCOL ARE WELL DEFINED WITH MANAGERS AVAILABLE O GUIDE AND HANDLE EXCEPTION SITUATIONS OUTSOURCED AGENCIES AND COLLECTIONS FIRMS ARE EXPECTED TO ADHERE TO ADVENTIST HEALTHCARE'S POLICY WITHOUT EXCEPTIONS BAD DEBT, CHARITY AND ADMINISTRATIVE WRITE-OFF ARE CLEARLY DEFINED WITH PRE-DETERMINED AUTHORIZATION LEVELS DEPENDING ON THE MAGNITUDE GRANTED ADVENTIST HEALTHCARE ALSO REVISES ITS FINANCIAL SSISTANCE POLICY AS FEDERAL GOVERNMENT AND/OR STATE GOVERNMENT REVISE HEIR POVERTY GUIDELINES OVERALL, ADVENTIST HEALTHCARE EXPECTS ITS STAFF TO REAT ITS PATIENTS WITH DIGNITY AND RESPECT, AS THEY WOULD LIKE TO BE TREATED

64 Form and Line Reference PART V, SECTION A, PRIMARY WEBSITE ADDRESSES Explanation FACILITY 1 ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTERHTTP //WWWADVENTISTHEALTHCARE COM/LOCATIONS/SHADY-GROVE-MEDICAL- CENTER/FACILITY 2 ADVENTIST HEALTHCARE WASHINGTON ADVENTIST HOSPITALHTTP //WWWADVENTISTHEALTHCARE COM/LOCATIONS/WASHINGTON- DVENTIST-HOSPITAL/FACILITY 4 ADVENTIST REHABILITATION HOSPITAL OF MARYLANDHTTP //WWWADVENTISTHEALTHCARE COM/LOCATIONS/PHYSICAL-HEALTH- REHABILITATION/FACILITIES 5 &6 ADVENTIST HEALTHCARE BEHAVIORAL HEALTH & WELLNESS SERVICES ROCKVILLE & EASTERN SHOREHTTP //WWWADVENTISTHEALTHCARE COM/LOCATIONS/ADVENTIST-BEHAVIORAL- HEALTH/

65 Form and Line Reference PART VI, LINE 2 Explanation NEEDS ASSESSMENT ADVENTIST HEALTHCARE, INCLUDING ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER, ADVENTIST HEALTHCARE WASHINGTON ADVENTIST HOSPITAL, AND ADVENTIST HEALTHCARE BEHAV IORAL HEALTH & WELLNESS SERVICES, FORMED A COMMUNITY BENEFIT COUNCIL (CBC)IN 2011 TO GUIDE AND LEAD ITS COMMUNITY BENEFIT ACTIVITIES, INCLUDING CONDUCTING THE COMMUNITY HEALTH NEE DS ASSESSMENTS THE COMMUNITY BENEFIT COUNCIL HAS REPRESENTATION FROM VARIOUS DEPARTMENTS WITHIN ADVENTIST HEALTHCARE AND IS CURRENTLY LED BY MARCOS PESQUERA, EXECUTIVE DIRECTOR, A DVENTIST HEALTHCARE CENTER FOR HEALTH EQUITY AND WELLNESS AS A STARTING POINT FOR ASSESSI NG THE HEALTH NEEDS OF THE COMMUNITY,THE COMMUNITY BENEFIT COUNCIL DECIDED TO RESEARCH TO PICS IN ALIGNMENT WITH MONTGOMERY COUNTY'S "HEALTHY MONTGOMERY" FOCUS AREAS OF CANCER, CA RDIOVASCULAR DISEASES, DIABETES, MATERNAL & INFANT HEALTH, BEHAVIORAL HEALTH, AND OBESITY THE COMMUNITY BENEFIT COUNCIL ALSO DECIDED TO RESEARCH ADDITIONAL TOPICS OF INTEREST TO T HE HOSPITALS AND THE COMMUNITIES SERVED INCLUDING ASTHMA, INFLUENZA, HIV/AIDS, SENIOR HEA LTH, INCOME AND POVERTY, ACCESS TO CARE/HEALTH INSURANCE COVERAGE, FOOD ACCESS, HOUSING QU ALITY, EDUCATION, AND TRANSPORTATION THE TOPICS INCLUDED IN THE COMMUNITY HEALTH NEEDS AS SESSMENTS WERE REVIEWED, DISCUSSED AND APPROVED BY THE COMMUNITY BENEFIT ADVISORY BOARD AN D BY THE BOARDS OF EACH ENTITY SINCE 2006, ADVENTIST HEALTHCARE HAS REGULARLY CONVENED AN ADVISORY BOARD TO HELP GUIDE OUR EFFORTS TO REDUCE AND ELIMINATE HEALTH DISPARITIES, TO ID ENTIFY COMMUNITY NEEDS, AND TO HELP ASSESS AND DIRECT OUR RESPONSE TO THOSE NEEDS THE ADV ISORY BOARD IS COMPRISED OF BOTH INTERNAL AND EXTERNAL (COMMUNITY) LEADERS MEMBERS INCLUD E CLINICIANS, RESEARCHERS, ADMINISTRATORS AND OTHERS FROM OUR HOSPITALS, COMMUNITY-BASED 0 RGANIZATIONS, LOCAL AND STATE HEALTH DEPARTMENTS, UNIVERSITY OF MARYLAND, THE NATIONAL INS TITUTES OF HEALTH (SPECIFICALLY, THE NATIONAL INSTITUTE OF MINORITY HEALTH AND HEALTH DISP ARITIES),AND OTHER PUBLIC HEALTH STAKEHOLDER ORGANIZATIONS THE COMMUNITY HEALTH NEEDS AS SESSMENTS WERE REVIEWED AND APPROVED BY THE BOARD OF TRUSTEES AT EACH ENTITY, AS WELL AS B Y THE ADVENTIST HEALTHCARE BOARD OF TRUSTEES AFTER COMPLETION OFTHE COMMUNITY HEALTH NEE DS ASSESSMENTS,THE PRESIDENT'S COUNCIL OR EXECUTIVE COUNCIL AT EACH HOSPITAL MET TO DISCU SS AND VOTE UPON FOCUS AREAS FOR IMPLEMENTATION OF STRATEGIES TO ADDRESS IDENTIFIED HEALTH NEEDS THE IMPLEMENTATION STRATEGIES DEVELOPED BY EACH ENTITY WERE ALSO REVIEWED AND APPROVED BY THE BOARD OF TRUSTEES AT EACH ENTITY,THE ADVENTIST HEALTHCARE BOARD OF TRUSTEES, AND THE COMMUNITY BENEFIT ADVISORY BOARD IN ADDITION TO INPUT FROM VARIOUS BOARDS, THE COM MUNITY PERSPECTIVE WAS OBTAINED THROUGH A COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY OFFERED TO THE PUBLIC THROUGH POSTINGS ON ADVENTIST HEALTHCARE ENTITY FACEBOOK PAGES, NEWSLETTERS, LISTSERVS, MEETINGS WITH COMMUNITY LEADERS, AND HEALTH FAIRS ADDITIONALLY, ADVENT IST HEALTHCARE BEHAVIORAL HEALTH &WELLNESS SERVICES HAS A COMMUNITY ADVISORY COUNCIL, WHIC H INCORPORATES FEEDBACK FROM THE COMMUNITY IN THE PLANNING AND DELIVERY OF SERVICES TO OBT AIN SECONDARY DATA FOR THE COMMUNITY HEALTH NEEDS ASSESSMENTS, WE WORKED WITH MONTGOMERY C OUNTY'S HEALTH AND HUMAN SERVICES, COMMUNITY HEALTH IMPROVEMENT PROCESS (CHIP), TO REVIEWTHE STATE OF MARYLAND'S STATE HEALTH IMPROVEMENT PROCESS' (SHIP) 39 HEALTH INDICATORS ADV ENTIST HEALTHCARE HAS REPRESENTATION ON THE HEALTHY MONTGOMERY STEERING COMMITTEE THE GRO UP'S COLLABORATIVE EFFORTS IN 2011 FOCUSED ON A SELECTION PROCESS FOR MONTGOMERY COUNTY'S HEALTH PRIORITIES DATA WAS COLLECTED AND A VENDOR (HEALTHY COMMUNITY INSTITUTE) WAS SELEC TED TO IMPLEMENT A COMMUNITY TRACKING TOOL THAT IS LINKED TO PUBLIC HEALTH INTERVENTIONS T HAT IMPROVE HEALTH OUTCOMES THIS ONGOING SURVEILLANCE IS POPULATION-BASED DATA THAT SHOWS HEALTH SERVICES UTILIZATION AND SOCIAL AND ENVIRONMENTAL DETERMINANTS OF HEALTH, INCLUDIN G SOCIO-ECONOMIC STATUS, SOCIAL ISOLATION, HOUSING AND AIR QUALITY IT IS AVAILABLE TO THE PUBLIC ON THE HEALTHY MONTGOMERY WEBSITE ADVENTIST HEALTHCARE'S CENTER FOR HEALTH EQUITY AND WELLNESS (FORMERLY CENTER ON HEALTH DISPARITIES) DEVELOPS AND RELEASES ANNUAL PROGRESS REPORTS/HEALTH EQUITY REPORTS, AND THESE REPORTS HELPED TO INFORM THE HOSPITALS' COMMUNITY HEALTH NEEDS ASSESSMENTS ALL PROGRESS REPORTS/HEALTH EQUITY REPORTS DEVELOPED BY THE CE NTER FOR HEALTH EQUITY AND WELLNESS ("THE CENTER")ARE MADE AVAILABLE TO THE PUBLIC ON THE CENTER'S WEBSITE,AS WELLAS IN HARD COPY THROUGH CONFERENCES AND UPON REQUEST THE CENTE R'S 2011 PROGRESS REPORT, ENTITLED HEALTH DISPARITIES IN THE ERA OF REFORM IMPLEMENTATION, DETAILED DEMOGRAPHIC TRENDS AND ASSESSED DISPARITIES ACROSS A RANGE OF ISSUES WITHIN THRE E BROAD HEALTH TOPICS AFFECTING OUR COMMUNITY MATERNAL AND INFANT HEALTH, HEART DISEASE A ND STROKE, AND CANCER THE REPORT INCORPORATED DESCRIPTIVE FINDINGS FROM NATIONAL, STATE A ND COUNTY-LEVEL DATABASES ON THE RACIAL AND ETHNIC

66 Form and Line Reference PART VI, LINE 2 Explanation MAKEUP OF THE POPULATION, THE PREVALENCE OF DISEASE ACROSS THESE GROUPS, AND THE RATES OF RECEIVING APPROPRIATE TREATMENT TO CREATE THIS REPORT, THE CENTER ANALYZED THE U S CENS US BUREAU'S AMERICAN COMMUNITY SURVEY AND PROFILES OF GENERAL POPULATION AND HOUSING CHARA CTERISTICS TO PRODUCE A BROAD DEMOGRAPHIC OVERVIEW BY COUNTY, RACE, AND ETHNICITY IN MARY LAND, THE CENTER PRODUCED DESCRIPTIVE TABULATIONS BASED ON DATA FROM THE MARYLAND BEHAVIOR AL RISK FACTOR SURVEILLANCE SYSTEM, THE MARYLAND CANCER REGISTRY, THE MARYLAND VITAL STATI STICS ADMINISTRATION, THE MARYLAND HEALTH CARE COMMISSION, AND THE MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE'S (MDHMH)OFFICE ON MINORITY HEALTH & HEALTH DISPARITIES IN ADD ITION TO THESE DATA SOURCES, THE CENTER ALSO SUMMARIZED FINDINGS FROM VARIOUS NATIONAL AND STATE-LEVEL REPORTS ON INSURANCE COVERAGE, DISEASE CONDITION, AND HEALTHY BEHAVIORS RELEA SED BY THE AGENCY FOR HEALTHCARE RESEARCH AND QUALITY, THE KAISER FAMILY FOUNDATION, AND T HE MDHMH'S FAMILY HEALTH ADMINISTRATION, OFFICE OF CHRONIC DISEASE PREVENTION THE CENTER'S 2012 PROGRESS REPORT WAS A HEALTH EQUITY REPORT THAT INCLUDED INFORMATION ABOUT PATIENTS TREATED AT ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER AND ADVENTIST HEALTHCARE WASHIN GTON ADVENTIST HOSPITAL IN 2011, AND EXAMINED THE INTERSECTION OF QUALITY AND HEALTH EQUITY THIS REPORT CONVEYED GENERAL INFORMATION ABOUT THE PATIENT POPULATION SERVED AT ADVENTI ST HEALTHCARE HOSPITALS, WHERE THEY RECEIVED CARE WITHIN THE HOSPITALS, AND THE QUALITY OF CARE RECEIVED THE 2012 REPORT INCLUDED HOSPITAL-SPECIFIC DATA ON CANCER, INPATIENT CLINI CAL QUALITY INDICATORS, HOSPITAL READMISSION RATES, AND PATIENT EXPERIENCE THE CENTER'S HEALTH EQUITY REPORT SHARED DEMOGRAPHIC, CLINICAL, AND QUALITY INFORMATION ABOUT ADVEN TIST HEALTHCARE HOSPITALS AND OTHER ENTITIES, AND HIGHLIGHTED EFFORTS TO IMPROVE PATIENT E XPERIENCES AND OUTCOMES IN THE COMMUNITIES WE SERVE SPECIAL HIGHLIGHTS IN THE 2013 REPORT INCLUDED INFORMATION ABOUT FEDERAL STANDARDS TO INCREASE CULTURALLY COMPETENT CARE AND RE DUCE HEALTH DISPARITIES, THE IMPLEMENTATION OF THE AFFORDABLE CARE ACT (ACA) IN THE STATE OF MARYLAND, EFFORTS TO REDUCE READMISSIONS AND IMPROVE PATIENT-CENTERED CARE ACROSS THE A DVENTIST HEALTHCARE SYSTEM, AND ADVENTIST HEALTHCARE HOSPITALS' COMMUNITY HEALTH NEEDS ASS ESSMENT RESULTS AND NEXT STEPS

67 Form and Line Reference PART VI, LINE 3 Explanation PATIENT EDUCATION OF ELIGIBILITY ADVENTIST HEALTHCARE EDUCATES OUR PATIENTS ND COMMUNITY RESIDENTS ABOUT CHARITY CARE AND FINANCIAL ASSISTANCE IN MANY WAYS THEY INCLUDE, BUT ARE NOT LIMITED TO THE FOLLOWING (1)ADVENTIST HEALTHCARE HAS FINANCIAL ASSISTANCE SIGNAGE IN ALL ITS FACILITIES, ON ALL PATIENT STATEMENTS AND ON OUR HOSPITALS' WEBSITE, (2) PATIENTS THAT ARE REGISTERED AS SELF PAY OR WITH NO INSURANCE, ARE INFORMED ABOUT THE HOSPITAL'S CHARITY CARE POLICY AND GIVEN A CHARITY APPLICATION, (3) WHEN GOING THROUGH THE MEDICAID ELIGIBILITY SCREENING, SELF PAY PATIENTS ARE GIVEN A CHARITY APPLICATION DURING THAT PROCESS JUST IN CASE THE PATIENT DOES NOT QUALIFY FOR MEDICAID, (4) WHEN PATIENTS WITH A BALANCE RECEIVES A STATEMENT, HE PATIENT STATEMENT INCLUDES NOTIFICATION OF THE AVAILABILITY OF FINANCIAL SSISTANCE AND THE CONTACT INFORMATION TO SPEAK WITH A REPRESENTATIVE OR OBTAIN A FINANCIAL ASSISTANCE PACKAGE, (5) WHEN PATIENTS WITH A BALANCE CONTACT THE COLLECTION DEPARTMENT AND EXPRESS FINANCIAL HARDSHIP, CUSTOMER SERVICE REPS AND SELF PAY COLLECTORS WILL NOTIFY THE PATIENT OFTHE VAILABILITY OF ADVENTIST HEALTHCARE'S FINANCIAL ASSISTANCE AND MAIL A CHARITY APPLICATION TO THE PATIENT AND (6) RESIDENTS THAT PARTICIPATE IN OUR COMMUNITY PROGRAMS, SUCH AS BREAST CANCER, MATERNITY, ETC, ARE INFORMED OF DVENTIST HEALTHCARE'S CHARITY PROGRAM PRIOR TO RECEIVING SERVICES

68 Form and Line Reference PART VI, LINE 4 Explanation COMMUNITY INFORMATION ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER PRIMARILY SERVES RES IDENTS OF MONTGOMERY COUNTY, MARYLAND APPROXIMATELY 80 PERCENT OF DISCHARGES COME FROM ITS TOTAL SERVICE AREA, WHICH IS CONSIDERED SHADY GROVE MEDICAL CENTER'S COMMUNITY BENEFIT S ERVICE AREA "CBSA " WITHIN THAT AREA, 60 PERCENT OF DISCHARGES ARE FROM THE PRIMARY SERVIC E AREA INCLUDING THE FOLLOWING ZIP CODES/CITIES GERMANTOWN (20874, 20876), GAITHERSBURG (2 0877, 20878, 20879), ROCKVILLE (20850, 20852), MONTGOMERY VILLAGE (20886) SHADY GROVE MEDI CAL CENTER DRAWS 20 PERCENT OF DISCHARGES FROM ITS SECONDARY SERVICE AREA INCLUDING THE FO LLOWING ZIP CODES/CITIES ROCKVILLE (20851, 20853), POTOMAC (20854), CLARKSBURG (20871), DE RWOOD (20855), SILVER SPRING (20906), DAMASCUS (20872), BOYDS (20841), GAITHERSBURG (20882 ) ADVENTIST HEALTHCARE WASHINGTON ADVENTIST HOSPITAL PRIMARILY SERVES RESIDENTS OF PRINCE GEORGE'S COUNTY AND MONTGOMERY COUNTY, MARYLAND APPROXIMATELY 80 PERCENT OF DISCHARGES C OME FROM ITS TOTAL SERVICE AREA, WHICH IS CONSIDERED WASHINGTON ADVENTIST HOSPITAL'S COMMU NITY BENEFIT SERVICE AREA "CBSA" WITHIN THAT AREA, 60 PERCENT OF DISCHARGES ARE FROM THE PRIMARY SERVICE AREA INCLUDING THE FOLLOWING ZIP CODES/CITIES BELTSVILLE (20705), COLLEGE PARK (20740), HYATTSVILLE (20783, 20782), RIVERDALE (20737), SILVER SPRING (20903, 20901, 20904, 20910, 20902, 20906), TAKOMA PARK (20912) WASHINGTON ADVENTIST HOSPITAL DRAWS 20 P ERCENT OF DISCHARGES FROM ITS SECONDARY SERVICE AREA INCLUDING THE FOLLOWING ZIP CODES/CIT IES BLADENSBURG (20710), BRENTWOOD (20722), CAPITOL HEIGHTS (20743), GAITHERSBURG (20877, 20878), GERMANTOWN (20874), GREENBELT (20770), HYATTSVILLE (20784, 20781, 20785), LANHAM ( 20706), LAUREL (20707, 20708), MOUNT RAINIER (20712), ROCKVILLE (20850), UPPER MARLBORO (2 0774), WASHINGTON (20011, 20012, 20002, 20019) ADVENTIST HEALTHCARE BEHAVIORAL HEALTH & WE LLNESS SERVICES - ROCKVILLE PRIMARILY SERVES RESIDENTS OF MONTGOMERY COUNTY, MARYLAND APP ROXIMATELY 80 PERCENT OF DISCHARGES COME FROM ITS TOTAL SERVICE AREA, WHICH IS CONSIDERED ITS COMMUNITY BENEFIT SERVICE AREA "CBSA " WITHIN THAT AREA, 60 PERCENT OF DISCHARGES ARE FROM THE PRIMARY SERVICE AREA INCLUDING THE FOLLOWING ZIP CODES/CITIES ROCKVILLE (20850, , 20852, 20853), GERMANTOWN (20874, 20876), GAITHERSBURG (20877, 20878, 20879, 20882), MONTGOMERY VILLAGE (20886), SILVER SPRING (20902, 20904, 20906), POTOMAC (20854), CLARKSB URG (20871), DERWOOD (20855) ADVENTIST BEHAVIORAL HEALTH AND WELLNESS SERVICES - ROCKVILLE DRAWS 20 PERCENT OF DISCHARGES FROM ITS SECONDARY SERVICE AREA INCLUDING THE FOLLOWING ZI P CODES/CITIES BELTSVILLE (20705), BETHESDA (20814, 20817), BOWIE (20721), BOYDS (20841), BURTONSVILLE (20866), CAPITOL HEIGHTS (20743), CAPITOL HEIGHTS (20743), CHEVY CHASE (20815 ), CLINTON (20735), COLLEGE PARK (20740), COLUMBIA (21045, 21044), DAMASCUS (20872), DISTR ICT HEIGHTS (20747), FREDERICK (21701, 21702), GREENBELT (20770), HAGERSTOWN (21740), HYAT TSVILLE (20785), KENSINGTON (20895), LANHAM (20706), LAUREL (20807), OLNEY (20832), POOLES VILLE (20837), SILVER SPRING (20910, 20910, 20905, 20903), TAKOMA PARK (20912), TEMPLE HIL LS (20748), UPPER MARLBORO (20772, 20774)ADVENTIST HEALTHCARE BEHAVIORAL HEALTH &WELLNES S SERVICES - EASTERN SHORE PRIMARILY SERVES RESIDENTS OF WICOMICO COUNTY AND DORCHESTER CO UNTY, MARYLAND, WHICH TOGETHER ACCOUNT FOR 60 PERCENT OF PATIENT DISCHARGES APPROXIMATELY 80 PERCENT OF DISCHARGES COME FROM ITS TOTAL SERVICE AREA, WHICH IS CONSIDERED ITS COMMUN ITY BENEFIT SERVICE AREA "CBSA " WITHIN THAT AREA, 60 PERCENT OF DISCHARGES ARE FROM THE P RIMARY SERVICE AREA, INCLUDING THE FOLLOWING ZIP CODES/CITIES CAMBRIDGE (21613), SALISBURY (21804, 21801), BERLIN (21811), PRINCESS ANNE (21853), WILLARDS (21874), ANNAPOLIS (2140 3), CROFTON (21114), DENTON (21629), EASTON (21601), FRUITLAND (21826) BEHAVIORAL HEALTH & WELLNESS SERVICES - EASTERN SHORE DRAWS 20 PERCENT OF DISCHARGES FROM ITS SECONDARY SERVI CE AREA INCLUDING THE FOLLOWING ZIP CODES/CITIES ELKTON (21921), ANNAPOLIS (21401, 21409), EDGEWATER (21037), FEDERALSBURG (21632), BIVALVE (21814), ODENTON (21113), HEBRON (21830 ), LAUREL (19956), ARNOLD (21012), GLEN BURNIE (21061), BALTIMORE (21202), CROWNSVILLE (21 032), DAVIDSONVILLE (21035), GRASONVILLE (21638), HURLOCK (21643) ADVENTIST HEALTHCARE SER VES ONE OF THE MOST ETHNICALLY DIVERSE COMMUNITIES IN THE UNITED STATES, NON-HISPANIC WHIT ES NOW COMPRISE ONLY 49% OFTHE POPULATION OF MONTGOMERY COUNTY, MD A DECREASE OF MORE THAN 20% OVER THE LAST TWO DECADES FOR THE FIRST TIME, MINORITIES ACCOUNT FOR MORE THAN HA LF OF THE COUNTY'S POPULATION, MAKING IT ONE OF ONLY 336 "MAJORITY-MINORITY" COUNTIES IN THE NATION ACCORDING TO THE U S BUREAU CENSUS BUREAU,THE PERCENTAGE OF HISPANICS OR LATI NOS IN MONTGOMERY COUNTY IS MORE THAN DOUBLE THE PERCENTAGE OF HISPANICS OR LATINOS IN THE STATE OF MARYLAND AND WITHIN THE COUNTY, IT OUTNUMBERS ALL POPULATIONS OTHER THAN NON-HIS PANIC WHITES THE U S CENSUS BUREAU HAS ALSO FOUN

69 Form and Line Reference PART VI, LINE 4 Explanation D THAT MARYLAND IS ONE OF THE TOP 10 DESTINATIONS FOR FOREIGN-BORN INDIVIDUALS, AND 41% OF THE FOREIGN-BORN IN MARYLAND RESIDE IN MONTGOMERY COUNTY MONTGOMERY COUNTY'S FOREIGN-BOR N POPULATION HAS GROWN FROM 12% IN 1980 TO CURRENTLY MORE THAN 30% PRINCE GEORGE'S COUNTY IS ONE OF THE STATE'S MOST POPULOUS JURISDICTIONS, WITH A POPULATION INCREASE OF 7 7 PERC ENT IN THE LAST DECADE TO A TOTAL OF MORE THAN 863,420 RESIDENTS, MAKING IT THE THIRD MOST POPULATED JURISDICTION IN THE WASHINGTON METROPOLITAN AREA SINCE 2000, IT HAS EXPERIENCE D THE SECOND-LARGEST POPULATION GROWTH IN MARYLAND, DUE LARGELY IN PART TO AN INCREASE IN HISPANIC RESIDENTS EVERY RACE OR ETHNICITY, INCLUDING BLACK OR AFRICAN AMERICAN, ASIAN AND PACIFIC ISLANDER, HISPANIC OR LATINO, MULTIPLE RACES, AND OTHER RACES, HAS INCREASED ITS PRESENCE IN THE PAST DECADE, EXCEPT THE WHITE POPULATION, WHICH HAS DECREASED BY OVER 23 PERCENT PRINCE GEORGE'S COUNTY'S FOREIGN-BORN POPULATION HAS ALSO STEADILY INCREASED OVER THE LAST TWO DECADES, FROM IT INCREASED AT THE HIGHEST RATE IN MARYLAND PERCENT COMPARED TO A STATE AVERAGE OF 70 7 PERCENT CURRENTLY, 24 PERCENT OFTHE COUNT Y'S RESIDENTS ARE FOREIGN-BORN IMMIGRANTS CONTRIBUTE GREATLY TO OUR COMMUNITY AND OUR HOS PITAL PROVIDERS ARE COMMITTED TO UNDERSTANDING THEIR NEEDS AND WORKING TO TREAT THEM IN A CULTURALLY COMPETENT MANNER OVER THE PAST DECADE, THE POPULATIONS OF WICOMICO COUNTY AND DORCHESTER COUNTY HAVE ALSO CONTINUED TO RISE RACIAL AND ETHNIC DIVERSITY IS ALSO INCREASI NG IN BOTH COUNTIES THE MINORITY POPULATION IS 31 4 PERCENT IN WICOMICO COUNTY, AND 32 4 PERCENT IN DORCHESTER COUNTY, AN INCREASE OF MORE THAN 5 PERCENT OVER THE LAST DECADE

70 Form and Line Reference PART VI, LINE 5 Explanation COMMUNITY HEALTH PROMOTION IN KEEPING WITH OUR MISSION, ADVENTIST HEALTHCARE CONTINUES TO PROMOTE GOOD HEALTH IN THE COMMUNITY THROUGH A WIDE VARIETY OF HEALTH AND WELLNESS SERVICES OFFERED THROUGHOUT MONTGOMERY AND PRINCE GEORGE'S COUNTIES IN MARYLAND, AS WELL AS SOME AREAS IN WASHINGTON D C AND THE SURROUNDING REGION BELOW IS A BRIEF SUMMARY OF HE HEALTH PROMOTION ACTIVITIES IN 2014, INCLUDING HEALTH EDUCATION/ LECTURES, HEALTH SCREENINGS, SUPPORT GROUPS, AS WELL AS SERVING ON COMMUNITY BOARDS AND COMMITTEES AND SUPPORTING MONTGOMERY COUNTY'S SAFETY NET CLINICS FOR UNINSURED AND UNDERINSURED RESIDENTS WE FOCUS ON PREVENTION ND MANAGEMENT OF CHRONIC DISEASES PREVALENT IN THE COMMUNITIES WE SERVE, S WELL AS OUTREACH AND CULTURALLY COMPETENT SERVICES TO VULNERABLE POPULATIONS >A VARIETY OF HEALTH SCREENINGS WERE HELD IN COMMUNITY SETTINGS, SUCH AS SENIOR LIVING COMMUNITIES, LOW-INCOME APARTMENT COMPLEXES, COMMUNITY AND SENIOR CENTERS, SCHOOLS, SHOPPING CENTERS/MALLS, FARMER'S MARKETS, BARBER SHOPS/ BEAUTY SALONS AND OTHER BUSINESSES, AND RELIGIOUS CONGREGATIONS > MATERNAL/CHILD/FAMILY EDUCATORS PROVIDED PPROXIMATELY 11,300 ENCOUNTERS IN 572 CLASSES, TOURS, AND SUPPORT GROUPS, INCLUDING CHILDBIRTH CLASSES, BREASTFEEDING CLASSES AND SUPPORT GROUPS, BABY CARE BASICS CLASSES, SIBLING CLASSES, GRANDPARENT CLASSES, NEW MOTHER ND NEW FATHER SUPPORT GROUPS, AND MATERNITY TOURS OF THE HOSPITALS > DIABETES PREVENTION EFFORTS INCLUDED FREE PRE-DIABETES CLASSES AS WELL AS INDIVIDUAL COUNSELING AND DIABETES SELF-MANAGEMENT CLASSES FOR THOSE WITH DIABETES FREE DIABETES EDUCATION WAS ADDITIONALLY PROVIDED AT PARTNER SAFETY NET CLINICS SERVING UNINSURED RESIDENTS > OTHER HEALTH EDUCATION CLASSES TO THE COMMUNITY INCLUDED CPR CLASSES (INFANT AND ADULT), FIRST ID/SAFETY CLASSES, BABYSITTING CLASSES, HOME ALONE CLASSES, HEALTHY EATING/NUTRITION CLASSES, COOKING DEMONSTRATIONS, ZUMBA CLASSES, AND A WIDE VARIETY OF HEALTH LECTURES > INFLUENZA AND PNEUMONIA VACCINATIONS WERE OFFERED FOR FREE OR REDUCED COST IN MANY COMMUNITY SETTINGS MANY OFTHESE VACCINATIONS WERE OFFERED IN PARTNERSHIP WITH SAFETY NET CLINICS SERVING LOW-INCOME AND UNINSURED RESIDENTS IN MONTGOMERY COUNTY > CARDIOVASCULAR HEALTH PROMOTION HAS INCLUDED PROVIDING THOUSANDS OF FREE HEART HEALTH SCREENINGS AND EDUCATION THROUGH OUR LARGE "LOVE YOUR HEART" HEALTH EVENT, COMMUNITY HEALTH FAIRS, LOW-INCOME APARTMENT COMPLEXES AND SENIOR HOUSING FACILITIES, FAITH-BASED CONGREGATIONS, COMMUNITY CENTERS, SENIOR CENTERS, ND AT A VARIETY OF OTHER COMMUNITY LOCATIONS > CANCER IS ANOTHER FOCUS REA FOR COMMUNITY HEALTH PROMOTION ADVENTIST HEALTHCARE PROVIDED FREE BREAST CANCER AND COLORECTAL CANCER SCREENINGS THROUGHOUT 2014 TO MORE THAN 1,700 LOW-INCOME AND UNINSURED PATIENTS IN ADDITION 183 PEOPLE, 65% OF WHOM WERE MINORITIES, PARTICIPATED IN THE SHADY GROVE MEDICAL CENTER AND WASHINGTON ADVENTIST HOSPITALS' CANCER SCREENING DAYS, RECEIVING A TOTAL OF 734 SCREENINGS FOR MULTIPLE TYPES OF CANCER (BREAST, COLORECTAL, SKIN, ORAL, PROSTATE, AND THYROID) ADDITIONAL SCREENINGS HAVE BEEN PROVIDED FOR LUNG CANCER THE CANCER PROGRAM ALSO PROVIDES FREE SUPPORT GROUPS AND NAVIGATION SERVICES FOR THE COMMUNITY >ADVENTIST HEALTHCARE HAS A HEALTH MINISTRY PROGRAM THAT SPECIFICALLY SUPPORTS FAITH COMMUNITY NURSES AND CONGREGATIONS TO ADDRESS HEALTH ISSUES IN FAITH-BASED COMMUNITIES MORE THAN 140 CONGREGATIONS OF VARIOUS FAITHS ARE INVOLVED IN OUR PROGRAM, RECEIVING ONGOING SUPPORT AND RESOURCES > PERSONNEL FROM VARIOUS DEPARTMENTS ARE ACTIVE IN THE COMMUNITY SERVING ON VARIOUS BOARDS, COALITIONS AND COMMITTEES TO HELP ADDRESS HEALTH IN THE COMMUNITY, PARTICULARLY THE HEALTH OF THE UNDERSERVED AND AT-RISK POPULATIONS > EACH OF HE HOSPITALS SUPPORTS ACCESS TO CARE BY PROVIDING FINANCIAL AND IN-KIND SUPPORT TO THE SAFETY NET CLINICS IN MONTGOMERY COUNTY THIS SUPPORT INCLUDES FINANCIAL CONTRIBUTIONS AND PROVISION OF LABORATORY AND RADIOLOGY SERVICES >TO MEET THE CONTINUING NEEDS OF OUR DIVERSE COMMUNITY,THE DVENTIST HEALTHCARE CENTER FOR HEALTH EQUITY AND WELLNESS PROVIDES CULTURAL AND LINGUISTIC COMPETENCY TRAINING TO MEDICAL AND SUPPORT STAFF, BOTH INTERNALLY AND FOR OTHER HEALTH CARE ORGANIZATIONS ADVENTIST HEALTHCARE IS COMMITTED TO ENSURING THAT THE COMMUNITIES IT SERVES THRIVE IN CULTURE OF WELLNESS AND ENJOY ACCESS TO AND THE BENEFITS OF HIGH QUALITY, EQUITABLE HEALTHCARE THAT PROMOTES PHYSICAL, MENTAL AND SPIRITUAL WELLBEING

71 Form and Line Reference Explanation PART VI, LINE 6 AFFILIATED HEALTH CARE ADVENTIST HEALTHCARE, BASED IN GAITHERSBURG, MD, IS A FAITH-BASED, NOT-FOR-PROFIT ORGANIZATION OF DEDICATED PROFESSIONALS WHO WORK TOGETHER EACH DAY TO PROVIDE EXCELLENT WELLNESS, DISEASE MANAGEMENT ND HEALTH-CARE SERVICES TO THE COMMUNITY WE WERE FOUNDED UPON THE PRINCIPLE OF WELLNESS MORE THAN 100 YEARS AGO AND TODAY PROVIDE INNOVATIVE CARE TO HEART-ATTACK VICTIMS, CANCER PATIENTS AND PREMATURE BABIES AND THE COMMUNITY OUR UNWAVERING FOCUS HAS ALWAYS BEEN ON THE HEALTH AND WELLNESS OFTHE COMMUNITIES WE SERVE WE ARE ALREADY A STEP AHEAD AS HEALTH CARE REFORM IS CHALLENGING HOSPITAL SYSTEMS NATIONWIDE TO IMPROVE THE HEALTH OF POPULATIONS, OUR INTEGRATED, HEALTH-CARE DELIVERY NETWORK INCLUDES FIVE NATIONALLY ACCREDITED, ACUTE-CARE AND SPECIALTY HOSPITALS, MENTAL HEALTH SERVICES AND HOME HEALTH AGENCIES, SERVING THE WASHINGTON, D C METROPOLITAN REA AND NORTHWESTERN NEW JERSEY ADVENTIST HEALTHCARE INCLUDES ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER, ADVENTIST HEALTHCARE WASHINGTON DVENTIST HOSPITAL, ADVENTIST HEALTHCARE BEHAVIORAL HEALTH & WELLNESS SERVICES, ADVENTIST HEALTHCARE PHYSICAL HEALTH & REHABILITATION, ADVENTIST HEALTHCARE HOME CARE SERVICES,THE REGINALD S LOURIE CENTER FOR CHILDREN'S SOCIAL & EMOTIONAL WELLNESS, HACKETTSTOWN REGIONAL MEDICAL CENTER IN NEW JERSEY, AND OTHER HEALTH SERVICES TOGETHER, WITH OUR CENTER FOR HEALTH EQUITY AND WELLNESS, AND MORE THAN 2,000 AFFILIATED PHYSICIANS, ADVENTIST HEALTHCARE ENCOMPASSES MANY OF THE NECESSARY CARE DELIVERY COMPONENTS NEEDED TO DELIVER POPULATION-BASED CARE ACROSS THE CONTINUUM OUR COMMITMENT TO THE COMMUNITY EXTENDS BEYOND OUR WALLS TO ENCOMPASS THE MOST VULNERABLE AND UNDERSERVED IN 2014, APPROXIMATELY 781,000 RESIDENTS CAME TO ONE OF OR FACILITIES OR ATTENDED A HEALTH CLASS OR PROGRAM WE ALSO PROVIDED SIGNIFICANT CHARITY CARE AND COMMUNITY BENEFITS OF MORE THAN $70 9 MILLION AS ONE OF THE LARGEST EMPLOYERS IN THE STATE OF MARYLAND, WE ARE GRATEFUL TO HAVE THE DEDICATED COMMITMENT OF 6,200 EMPLOYEES AND ALMOST 1,330 VOLUNTEERS THROUGHOUT ADVENTIST HEALTHCARE WHO PROVIDE COMPASSIONATE, HIGH-QUALITY CARE EACH AND EVERY DAY IN ADDITION TO PROVIDING CHARITY CARE AT OUR FACILITIES, ADVENTIST HEALTHCARE IS INVOLVED IN NUMEROUS OUTREACH INITIATIVES DESIGNED TO IMPROVE ACCESS TO HEALTH CARE FOR LOW-INCOME AND UNINSURED INDIVIDUALS, AS WELL AS HISTORICALLY UNDER- SERVED COMMUNITIES INCLUDING MINORITIES AND IMMIGRANTS OUR GOAL IS EFFECTIVE PREVENTION, TREATMENT AND CARE PROGRAMS FOR ALL INDIVIDUALS, REGARDLESS OF THEIR ECONOMIC, CULTURAL, LINGUISTIC OR DEMOGRAPHIC CHARACTERISTICS VISIT WWWADVENTISTHEALTHCARE COM TO LEARN EVEN MORE BOUT OUR SERVICES AND OUR LONGSTANDING BELIEF THAT A HEALTHY LIFESTYLE IS HE BEST WAY TO PREVENT DISEASE, AND THAT PREVENTION IS MUCH BETTER THAN A CURE

72 Form and Line Reference PART VI, LINE 7, REPORTS FILED WITH STATES MD Explanation

73 Additional Data Software ID: Software Version: EIN: Name : ADVENTIST HEALTHCARE INC Form 990 Part V Section C Supplemental Information for Part V, Section B. Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1j, 3, 4, 5d, 6i, 7, 10, 11, 121, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facilit y in a facilit y reporting g rou p, desi g nated b y "Facility A, " "Facility 13, " etc. Form and Line Reference SHADY GROVE MEDICAL CENTER Explanation PART V, SECTION B, LINE 5 ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER (SGMC) HAS ONGOING PARTNERSHIPS WITH SEVERAL COMMUNITY-BASED ORGANIZATIONS ND HEALTH CARE CLINICS THAT PROVIDE VALUABLE INPUT ON THE HEALTH NEEDS OF COMMUNITY MEMBERS WE PARTNER WITH CLINICS THAT SERVE THE LOW-INCOME RESIDENTS OF MONTGOMERY COUNTY, MANY OF WHOM ARE LIMITED ENGLISH PROFICIENT ND/OR RACIAL AND ETHNIC MINORITIES WE ALSO PARTNER WITH MERCY HEALTH CLINIC BY PROVIDING FREE DIAGNOSTIC SERVICES/LAB WORK TO THEIR UNINSURED PATIENTS NOTHER KEY PARTNER IS MOBILE MEDICAL CARE (MOBILE MED), WHICH OPERATES THREE MOBILE HEALTHCARE VEHICLES AND PROVIDES PRIMARY AND PREVENTATIVE HEALTHCARE O THE UNINSURED, LOW INCOME, WORKING POOR AND HOMELESS IN MONTGOMERY COUNTY WE EXPANDED OUR PRENATAL SERVICES IN 2006 BY PARTNERING WITH THE MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES IN ITS MATERNAL PARTNERSHIPS PROGRAM, A REFERRAL PROGRAM THAT COLLABORATES WITH HOSPITALS O PROVIDE OBSTETRIC AND GYNECOLOGIC SERVICES FOR UNINSURED WOMEN IN MONTGOMERY COUNTY WE ALSO PROVIDE HEALTH SERVICES FOR WOMEN IN THE COMMUNITY WITH BREAST CANCER THROUGH A PARTNERSHIP WITH THE KOMEN FOUNDATION IN ADDITION, ADVENTIST HEALTHCARE AND THE CENTER FOR HEALTH EQUITY AND WELLNESS HAVE ONGOING COLLABORATIONS WITH SINAI HOSPITAL OF BALTIMORE,THE UNIVERSITY OF MARYLAND SCHOOL OF PUBLIC HEALTH, AND THE PRIMARY CARE COALITION OF MONTGOMERY COUNTY PUBLIC HEALTH EXPERTS FROM THESE VARIOUS PARTNER ORGANIZATIONS PROVIDE SGMC WITH IMPORTANT INPUT ON HE NEEDS AFFECTING THE HEALTH OF THE COMMUNITIES WE SERVE SGMC'S HEALTH MINISTRY DEPARTMENT PARTNERS WITH FAITH COMMUNITIES OF ALL RELIGIONS, SSISTING THEM IN ASSESSING THE HEALTH NEEDS OFTHEIR CONGREGATIONS AS WELL S PROVIDING RESOURCES TO HELP IMPLEMENT PROGRAMS THAT ADDRESS THESE NEEDS SOME OF THE CONGREGATIONS HAVE TRAINED FAITH COMMUNITY NURSES (FCN)THAT NOT ONLY IDENTIFY SPECIFIC NEEDS, BUT PROVIDE EDUCATION, COUNSELING, REFERRAL, ND ADVOCACY SERVICES THESE FCNS OFTEN FOLLOW UP WITH THEIR CONGREGANTS FTER A HOSPITALIZATION OR OTHER MEDICAL NEED IN ADDITION, WE CONVENED AN DVISORY BOARD TO HELP GUIDE OUR EFFORTS TO REDUCE AND ELIMINATE HEALTH DISPARITIES, TO IDENTIFY COMMUNITY NEEDS, AND TO HELP ASSESS AND DIRECT OUR RESPONSE TO THOSE NEEDS THE ADVISORY BOARD IS COMPRISED OF BOTH INTERNAL ND EXTERNAL/COMMUNITY LEADERS ADVENTIST HEALTHCARE COMMUNITY BENEFIT DVISORY BOARD MEMBERS >AISHA BIVENS,JD, BSN, ASSOCIATE VICE PRESIDENT OF CLINICAL EFFECTIVENESS, WASHINGTON ADVENTIST HOSPITAL,> PERRY CHAN, SENIOR PROGRAM COORDINATOR, ASIAN AMERICAN HEALTH INITIATIVE, MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES, > IRENE DANKWA-MULLAN, MD, MPH, DIRECTOR, OFFICE OF INNOVATION AND PROGRAM COORDINATION, NATIONAL INSTITUTE ON MINORITY HEALTH AND HEALTH DISPARITIES, > STEVE GALEN, MS, PRESIDENT AND CEO, PRIMARY CARE COALITION OF MONTGOMERY COUNTY,> CAROL W GARVEY, MD, MPH, CHAIR, PRIMARY CARE COALITION, > CARLESSIA HUSSEIN, DRPH, RN, DIRECTOR, OFFICE OF MINORITY HEALTH AND HEALTH DISPARITIES, MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE, > JUDY LICHTY, MPH, REGIONAL DIRECTOR, HEALTH AND WELLNESS, > SKIP MARGOT, RN, MS, CNE AND VP OF PATIENT CARE SERVICES, SHADY GROVE MEDICAL CENTER, > SONIA MORA, RN, MANAGER, PUBLIC HEALTH SERVICES/LATINO HEALTH INITIATIVE, MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES, > RICHARD "DICK" PAVLIN, MHCA, EXECUTIVE DIRECTOR, MERCY HEALTH CLINIC, > OLIVIA CARTER-POKRAS, PHD, ASSOCIATE PROFESSOR, UNIVERSITY OF MARYLAND COLLEGE PARK, SCHOOL OF PUBLIC HEALTH, > HOWARD ROSS, CHIEF LEARNING OFFICER, COOK ROSS, INC, >TERRENCE P SHEEHAN, MD, CHIEF MEDICAL OFFICER, ADVENTIST REHABILITATION HOSPITAL OF MARYLAND, >TOM SWEENEY, RN, MBA, FACHE, VICE PRESIDENT - CHIEF NURSING OFFICER, WASHINGTON ADVENTIST HOSPITAL, > LOIS A WESSEL, RN CFNP, SSOCIATE DIRECTOR FOR PROGRAMS, ASSOCIATION OF CLINICIANS FOR THE UNDERSERVED, IN ADDITION TO THE FORMAL ADVISORY BOARD, THE STAFF OF SGMC PARTICIPATES IN VARIOUS WAYS IN THE COMMUNITY WE ACTIVELY PARTICIPATE IN NUMEROUS COMMITTEES, COALITIONS, AND PARTNERSHIPS THAT PROVIDE INFORMATION ON THE HEALTH NEEDS IN THE COMMUNITY THE HEALTH PROFESSIONALS THAT PROVIDE PROGRAMS IN THE COMMUNITY ALSO PROVIDE VALUABLE INFORMATION AND KNOWLEDGE OF COMMUNITY NEEDS FINALLY,THE COMMUNITY'S PERSPECTIVE WAS OBTAINED THROUGH A COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY OFFERED TO THE PUBLIC THROUGH POSTINGS ON THIS ORGANIZATION'S FACEBOOK PAGES, NEWSLETTERS, LIST SERVES, AND MEETINGS WITH COMMUNITY LEADERS A 25-ITEM SURVEY, AVAILABLE ONLINE THROUGH SURVEYMONKEY COM,ASKED COMMUNITY MEMBERS AND COMMUNITY LEADERS ALIKE TO IDENTIFY THEIR SO CIO DEMOGRAPHIC INFORMATION, HEALTH NEEDS, PROBLEMS AFFECTING THE HEALTH OFTHE COMMUNITY, BARRIERS TO ACCESSING CARE, ND STRENGTHS/RESOURCES IN THE COMMUNITY

74 Form 990 Part V Section C Supplemental Information for Part V, Section B. Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1], 3, 4, 5d, 6i, 7, 10, 11, 121, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facilit y in a facilit y reporting g rou p, desi g nated b y "Facility A, " "Facility 13, " etc. Form and Line Reference Explanation WASHINGTON ADVENTIST PART V, SECTION B, LINE 5 ADVENTIST HEALTHCARE WASHINGTON ADVENTIST HOSPITAL HOSPITAL (WAH) HAS ONGOING PARTNERSHIPS WITH SEVERAL COMMUNITY-BASED ORGANIZATIONS ND HEALTH CARE CLINICS THAT PROVIDE VALUABLE INPUT ON THE HEALTH NEEDS OF COMMUNITY MEMBERS WE PARTNER WITH CLINICS THAT IMPROVE ACCESS TO CARE BY SERVING THE LOW-INCOME RESIDENTS OF MONTGOMERY COUNTY AND PRINCE GEORGE'S COUNTY, MANY OF WHOM ARE LIMITED ENGLISH PROFICIENT AND/OR RACIAL AND ETHNIC MINORITIES ONE OF WAH'S SAFETY NET CLINIC PARTNERS IS MARY'S CENTER FOR MATERNAL AND CHILD CARE ANOTHER PARTNER, MOBILE MEDICAL CARE, INC (MOBILEMED), OPERATES THREE MOBILE HEALTHCARE VEHICLES AND PROVIDES PRIMARY ND PREVENTATIVE HEALTHCARE TO THE UNINSURED, LOW INCOME, WORKING POOR AND HOMELESS IN MONTGOMERY COUNTY WE EXPANDED OUR PRENATAL SERVICES IN 2006 BY PARTNERING WITH THE MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES IN ITS MATERNAL PARTNERSHIPS PROGRAM, A REFERRAL PROGRAM THAT COLLABORATES WITH HOSPITALS TO PROVIDE OBSTETRIC AND GYNECOLOGIC SERVICES FOR UNINSURED WOMEN IN MONTGOMERY COUNTY WE ALSO PROVIDE HEALTH SERVICES FOR WOMEN IN THE COMMUNITY WITH BREAST CANCER THROUGH A PARTNERSHIP WITH HE KOMEN FOUNDATION IN ADDITION, ADVENTIST HEALTHCARE AND THE CENTER FOR HEALTH EQUITY AND WELLNESS HAVE ONGOING COLLABORATIONS WITH SINAI HOSPITAL OF BALTIMORE,THE UNIVERSITY OF MARYLAND SCHOOL OF PUBLIC HEALTH, AND THE PRIMARY CARE COALITION OF MONTGOMERY COUNTY PUBLIC HEALTH EXPERTS FROM THESE VARIOUS PARTNER ORGANIZATIONS PROVIDE WAH WITH IMPORTANT INPUT ON THE NEEDS AFFECTING THE HEALTH OFTHE COMMUNITIES WE SERVE WAH'S HEALTH MINISTRY DEPARTMENT PARTNERS WITH FAITH COMMUNITIES OF ALL RELIGIONS, ASSISTING THEM IN ASSESSING THE HEALTH NEEDS OF THEIR CONGREGATIONS AS WELL AS PROVIDING RESOURCES TO HELP IMPLEMENT PROGRAMS THAT ADDRESS THESE NEEDS SOME OFTHE CONGREGATIONS HAVE TRAINED FAITH COMMUNITY NURSES (FCN)THAT NOT ONLY IDENTIFY SPECIFIC NEEDS, BUT PROVIDE EDUCATION, COUNSELING, REFERRAL, AND DVOCACY SERVICES THESE FCNS OFTEN FOLLOW UP WITH THEIR CONGREGANTS AFTER A HOSPITALIZATION OR OTHER MEDICAL NEED IN ADDITION, WE CONVENED AN ADVISORY BOARD TO HELP GUIDE OUR EFFORTS TO REDUCE AND ELIMINATE HEALTH DISPARITIES, TO IDENTIFY COMMUNITY NEEDS, AND TO HELP ASSESS AND DIRECT OUR RESPONSE TO THOSE NEEDS THE ADVISORY BOARD IS COMPRISED OF BOTH INTERNAL AND EXTERNAL/COMMUNITY LEADERS ADVENTIST HEALTHCARE COMMUNITY BENEFIT DVISORY BOARD MEMBERS >AISHA BIVENS,JD, BSN, ASSOCIATE VICE PRESIDENT OF CLINICAL EFFECTIVENESS, WASHINGTON ADVENTIST HOSPITAL, > PERRY CHAN, SENIOR PROGRAM COORDINATOR, ASIAN AMERICAN HEALTH INITIATIVE, MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES, > IRENE DANKWA-MULLAN, MD, MPH, DIRECTOR, OFFICE OF INNOVATION AND PROGRAM COORDINATION, NATIONAL INSTITUTE ON MINORITY HEALTH AND HEALTH DISPARITIES, > STEVE GALEN, MS, PRESIDENT AND CEO, PRIMARY CARE COALITION OF MONTGOMERY COUNTY, > CAROL W GARVEY, MD, MPH, CHAIR, PRIMARY CARE COALITION, > CARLESSIA HUSSEIN, DRPH, RN, DIRECTOR, OFFICE OF MINORITY HEALTH AND HEALTH DISPARITIES, MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE, > JUDY LICHTY, MPH, REGIONAL DIRECTOR, HEALTH AND WELLNESS, DVENTIST HEALTHCARE, > SKIP MARGOT, RN, MS, CNE AND VP OF PATIENT CARE SERVICES, SHADY GROVE MEDICAL CENTER,> SONIA MORA, RN, MANAGER, PUBLIC HEALTH SERVICES/LATINO HEALTH INITIATIVE, MONTGOMERY COUNTY DEPARTMENT OF HEALTH ND HUMAN SERVICES, > RICHARD "DICK" PAVLIN, MHCA, EXECUTIVE DIRECTOR, MERCY HEALTH CLINIC, > OLIVIA CARTER-POKRAS, PHD, ASSOCIATE PROFESSOR, UNIVERSITY OF MARYLAND COLLEGE PARK, SCHOOL OF PUBLIC HEALTH, > HOWARD ROSS, CHIEF LEARNING OFFICER, COOK ROSS, INC, >TERRENCE P SHEEHAN, MD, CHIEF MEDICAL OFFICER, DVENTIST REHABILITATION HOSPITAL OF MARYLAND, >TOM SWEENEY, RN, MBA, FACHE, ICE PRESIDENT - CHIEF NURSING OFFICER, WASHINGTON ADVENTIST HOSPITAL, > LOIS WESSEL, RN CFNP, ASSOCIATE DIRECTOR FOR PROGRAMS, ASSOCIATION OF CLINICIANS FOR THE UNDERSERVED, IN ADDITION TO THE FORMAL ADVISORY BOARD, THE STAFF OF DVENTIST HEALTHCARE AND WAH PARTICIPATES IN VARIOUS WAYS IN THE COMMUNITY WE ACTIVELY PARTICIPATE IN NUMEROUS COMMITTEES, COALITIONS, AND PARTNERSHIPS THAT PROVIDE INFORMATION ON THE HEALTH NEEDS IN THE COMMUNITY THE HEALTH PROFESSIONALS THAT PROVIDE PROGRAMS IN THE COMMUNITY ALSO PROVIDE VALUABLE INFORMATION AND KNOWLEDGE OF COMMUNITY NEEDS FINALLY,THE COMMUNITY'S PERSPECTIVE WAS OBTAINED THROUGH A COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY OFFERED TO THE PUBLIC THROUGH POSTINGS ON THIS ORGANIZATION'S FACEBOOK PAGES, NEWSLETTERS, LIST SERVES, AND MEETINGS WITH COMMUNITY LEADERS A 25-ITEM SURVEY, AVAILABLE ONLINE THROUGH SURVEYMONKEY COM,ASKED COMMUNITY MEMBERS AND COMMUNITY LEADERS ALIKE TO IDENTIFY THEIR SOCIODEMOGRAPHIC INFORMATION, HEALTH NEEDS, PROBLEMS AFFECTING THE HEALTH OFTHE COMMUNITY, BARRIERS TO ACCESSING CARE, AND STRENGTHS/RESOURCES IN THE COMMUNITY

75 Form 990 Part V Section C Supplemental Information for Part V, Section B. Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1], 3, 4, 5d, 6i, 7, 10, 11, 121, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facilit y in a facilit y reporting g rou p, desi g nated b y "Facility A, " "Facility 13, " etc. Form and Line Reference HACKETTSTOWN COMMUNITY HOSPITAL Explanation PART V, SECTION B, LINE 5 HACKETTSTOWN COMMUNITY HOSPITAL UNDERTOOK A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT WHICH CONCLUDED IN 2012 HE PURPOSE OFTHE STUDY WAS TO GATHER CURRENT STATISTICS AND QUALITATIVE FEEDBACK ON THE KEY HEALTH ISSUES FACING OUR SERVICE MARKET RESIDENTS LOCAL RESIDENTS WERE ASKED TO PARTICIPATE IN A SURVEY AS WELL AS FOCUS GROUPS DDRESSING THE ISSUES OF MEN, WOMEN AND DIABETICS AFTER COMPLETION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, APPROXIMATELY 25 LEADERS FROM HACKETTSTOWN COMMUNITY HOSPITAL, COMMUNITY AGENCIES AND AREA HEALTHCARE ND SOCIAL SERVICES ORGANIZATIONS MET TO REVIEW AND PRIORITIZE THE FINDINGS AND TO DEVELOP AN IMPLEMENTATION PLAN THE FOLLOWING KEY STAKEHOLDERS PARTICIPATED IN THE PROCESS PRESIDENT, HACKETTSTOWN REGIONAL MEDICAL CENTER,CHIEF MEDICAL OFFICER, HRMC,EXECUTIVE DIRECTOR, HRMC,CHIEF NURSING OFFICER,ADMINISTRATIVE DIRECTOR, HRMC,MANAGER, MARKETING AND PUBLIC RELATIONS, HRMC,MANAGER, EDUCATION, HRMC,MANAGER, CARE MANAGEMENT, HRMC,MANAGER, CENTER FOR HEALTHIER LIVING, HRMC,COORDINATOR, HEALTHLINK, HRMC,FINANCIAL COUNSELOR, HRMC,WARREN COUNTY HEALTH DEPARTMENT,WARREN COUNTY AGENCY ON AGING AND DISABILITY,WARREN COUNTY DEPARTMENT OF HUMAN SERVICES,KAREN ANN QUINLAN HOME CARE,KAREN ANN QUINLAN HOSPICE,HACKETTSTOWN POLICE DEPARTMENT,SUPERINTENDENT, HACKETTSTOWN PUBLIC SCHOOLS,COLONIAL MANOR, SENIOR LIVING,DOMESTIC ABUSE AND SEXUAL SSAULT,FAMILY GUIDANCE CENTER,UNITED WAY OF NORTHERN NJ,WRNJ RADIO,ZUFALL, FEDERALLY QUALIFIED HEALTH CENTER

76 Form 990 Part V Section C Supplemental Information for Part V, Section B. Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1], 3, 4, 5d, 6i, 7, 10, 11, 121, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facilit y in a facilit y report n g rou p, desi g nated b y "Facility A, " "Facility 13, " etc. Form and Line Reference DVENTIST REHABILITATION HOSPITAL OF MARYLAND Explanation PART V, SECTION B, LINE 5 ADVENTIST HEALTHCARE AND THE CENTER FOR HEALTH EQUITY AND WELLNESS HAVE ONGOING COLLABORATIONS WITH SINAI HOSPITAL OF BALTIMORE, THE UNIVERSITY OF MARYLAND SCHOOL OF PUBLIC HEALTH, AND THE PRIMARY CARE COALITION OF MONTGOMERY COUNTY PUBLIC HEALTH EXPERTS FROM THESE VARIOUS PARTNER ORGANIZATIONS PROVIDE ADVENTIST HEALTHCARE PHYSICAL HEALTH AND REHABILITATION (APHR) WITH IMPORTANT INPUT ON THE NEEDS AFFECTING HE HEALTH OFTHE COMMUNITIES WE SERVE APHR'S HEALTH MINISTRY DEPARTMENT PARTNERS WITH FAITH COMMUNITIES OF ALL RELIGIONS, ASSISTING THEM IN ASSESSING HE HEALTH NEEDS OFTHEIR CONGREGATIONS AS WELL AS PROVIDING RESOURCES TO HELP IMPLEMENT PROGRAMS THAT ADDRESS THOSE NEEDS SOME OF THE CONGREGATIONS HAVE TRAINED FAITH COMMUNITY NURSES (FCN)THAT NOT ONLY IDENTIFY SPECIFIC NEEDS, BUT ALSO PROVIDE EDUCATION, COUNSELING, REFERRAL, AND ADVOCACY SERVICES THESE FCNS OFTEN FOLLOW UP WITH THEIR CONGREGANTS AFTER A HOSPITALIZATION OR OTHER MEDICAL NEED ADDITIONALLY, ADVENTIST HEALTHCARE CONVENED A COMMUNITY ADVISORY BOARD TO HELP GUIDE OUR EFFORTS TO REDUCE AND ELIMINATE HEALTH DISPARITIES, TO IDENTIFY COMMUNITY NEEDS,ANDTO HELP ASSESS AND DIRECT OUR RESPONSE TO THOSE NEEDS THE ADVISORY BOARD IS COMPRISED OF BOTH INTERNAL AND EXTERNAL/COMMUNITY LEADERS ADVENTIST HEALTHCARE COMMUNITY BENEFIT ADVISORY BOARD MEMBERS >AISHA BIVENS,JD, BSN, ASSOCIATE VICE PRESIDENT OF CLINICAL EFFECTIVENESS, WASHINGTON ADVENTIST HOSPITAL, > PERRY CHAN, SENIOR PROGRAM COORDINATOR, ASIAN AMERICAN HEALTH INITIATIVE, MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES, > IRENE DANKWA-MULLAN, MD, MPH, DIRECTOR, OFFICE OF INNOVATION AND PROGRAM COORDINATION, NATIONAL INSTITUTE ON MINORITY HEALTH AND HEALTH DISPARITIES, > STEVE GALEN, MS, PRESIDENT AND CEO, PRIMARY CARE COALITION OF MONTGOMERY COUNTY, > CAROL W GARVEY, MD, MPH, CHAIR, PRIMARY CARE COALITION, > CARLESSIA HUSSEIN, DRPH, RN, DIRECTOR, OFFICE OF MINORITY HEALTH AND HEALTH DISPARITIES, MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE, > JUDY LICHTY, MPH, REGIONAL DIRECTOR, HEALTH AND WELLNESS, ADVENTIST HEALTHCARE, > SKIP MARGOT, RN, MS, CNE AND VP OF PATIENT CARE SERVICES, SHADY GROVE MEDICAL CENTER,> SONIA MORA, RN, MANAGER, PUBLIC HEALTH SERVICES/LATINO HEALTH INITIATIVE, MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES, > RICHARD "DICK" PAVLIN, MHCA, EXECUTIVE DIRECTOR, MERCY HEALTH CLINIC, > OLIVIA CARTER-POKRAS, PHD, ASSOCIATE PROFESSOR, UNIVERSITY OF MARYLAND COLLEGE PARK, SCHOOL OF PUBLIC HEALTH, > HOWARD ROSS, CHIEF LEARNING OFFICER, COOK ROSS, INC, > ERRENCE P SHEEHAN, MD, CHIEF MEDICAL OFFICER, ADVENTIST REHABILITATION HOSPITAL OF MARYLAND, >TOM SWEENEY, RN, MBA, FACHE, VICE PRESIDENT - CHIEF NURSING OFFICER, WASHINGTON ADVENTIST HOSPITAL, > LOIS A WESSEL, RN CFNP, ASSOCIATE DIRECTOR FOR PROGRAMS, ASSOCIATION OF CLINICIANS FOR THE UNDERSERVED,IN ADDITION TO THE FORMAL ADVISORY BOARD,THE STAFF OF APHR PARTICIPATES IN VARIOUS WAYS IN THE COMMUNITY WE ACTIVELY PARTICIPATE IN NUMEROUS COMMITTEES, COALITIONS, AND PARTNERSHIPS THAT PROVIDE INFORMATION ON THE HEALTH NEEDS IN THE COMMUNITY THE HEALTH PROFESSIONALS THAT PROVIDE PROGRAMS IN THE COMMUNITY ALSO PROVIDE VALUABLE INFORMATION AND KNOWLEDGE OF COMMUNITY NEEDS FINALLY,THE COMMUNITY'S PERSPECTIVE WAS OBTAINED THROUGH A COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY, CUSTOMER SATISFACTION SURVEYS, AND KEY INFORMANT INTERVIEWS THE CHNA SURVEY WAS OFFERED TO THE PUBLIC THROUGH POSTINGS ON ADVENTIST HEALTHCARE'S FACEBOOK PAGES, NEWSLETTERS, LIST SERVES, AND MEETINGS WITH COMMUNITY LEADERS A 25-ITEM SURVEY, AVAILABLE ONLINE THROUGH SURVEYMONKEY COM,ASKED COMMUNITY MEMBERS AND COMMUNITY LEADERS ALIKE TO IDENTIFY THEIR SOCIO-DEMOGRAPHIC INFORMATION, HEALTH NEEDS, PROBLEMS AFFECTING THE HEALTH OF THE COMMUNITY, BARRIERS TO ACCESSING CARE, AND STRENGTHS/RESOURCES IN THE COMMUNITY

77 Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1], 3, 4, 5d, 6i, 7, 10, 11, 121, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facilit y in a acility re p ortin g g rou p, desi g nated b y "Facility A, " "Facility 13, " etc. Form and Line Reference Explanation BEHAVIORAL PART V, SECTION B, LINE 5 ADVENTIST HEALTHCARE BEHAVIORAL HEALTH AND WELLNESS SERVICES HEALTH&WELLNESS RO CKVILLE (BHWS -R) BELIEVES THAT MENTAL HEALTH CARE IS BEST DELIVERED THROUGH PROGRAMS SERVICES-ROCK AND SERVICES THAT ADDRESS THE NEEDS OF THE COMMUNITY IT SERVES THE COMMUNITY ADVISORY COUNCIL (CAC) WAS FORMED FOR THE PURPOSE OF INCORPORATING FEEDBACK FROM THE COMMUNITY IN THE PLAN NING AND DELIVERY OF OUR SERVICES THROUGH REGULAR AND PRODUCTIVE DIALOGUE WITH OUR CAC, B HWS-R AIMS TO STRENGTHEN ITS EXISTING PROGRAMS AND BETTER ADDRESS GAPS IN MENTAL HEALTH CA RE THE CAC CONSISTS OF 17 MEMBERS WHO HAVE DEMONSTRATED AN INTEREST IN THE MENTAL HEALTH CONCERNS OF THE COMMUNITY THROUGH THEIR PROFESSION OR VOLUNTEER SERVICE THIS INCLUDES, BUT IS NOT LIMITED TO, FORMER PATIENTS AND/OR THEIR FAMILY MEMBERS, MENTAL HEALTH ADVOCACY G ROUPS, COUNTY AND STATE LEADERS, MONTGOMERY COUNTY PUBLIC SCHOOLS,AND MONTGOMERY COUNTY P OLICE DEPARTMENT THE COMMUNITY ADVISORY COUNCIL MEETS BIMONTHLY AT ADVENTIST BEHAVIORAL H EALTH IN ROCKVILLE MEMBERS OF BHWS - ROCKVILLE'S COMMUNITY ADVISORY COUNCIL INCLUDED > CLI NICAL DIRECTOR OF MONTGOMERY COUNTY COALITION FOR THE HOMELESS/HOMEBUILDERS CARE ASSESSMENT CENTER,> MONTGOMERY COUNTY POLICE DEPARTMENT CRISIS INTERVENTION TEAM COORDINATOR,> EXEC UTIVE DIRECTOR OF THE MONTGOMERY COUNTY FEDERATION OF FAMILIES FOR CHILDREN'S MENTAL HEALT H, INC,> NAMI MONTGOMERY COUNTY DIRECTOR OF CHILDREN AND ADOLESCENT PROGRAM AND FAMILY-TO -FAMILY COORDINATOR,> FORMER PATIENTS AND/OR FAMILY MEMBERS OF ADVENTIST BEHAVIORAL HEALTH,> ABHW VICE PRESIDENT OF OPERATIONS,> ABHW INTERIM CHIEF NURSING OFFICER AND STAFF EDUCAT OR,> ABHW COMMUNICATIONS DIRECTOR,> ABHWASSOCIATE VICE PRESIDENT, BUSINESS DEVELOPMENT,> ABHW MEDICAL DIRECTOR,> ABHW PSYCHIATRIST,> ABHW DIRECTOR OF COMMUNITY BASED RESIDENTIAL S ERVICES,> ABHW DIRECTOR OF ADULT CLINICAL SERVICES,> ABHW CHAPLAIN,> ABHW ASSOCIATE VICE P RESIDENT, QUALITY AND PATIENT SAFETY AND LOCAL INTEGRITY/CHIEF PRIVACY OFFICER,BHWS-R HAS ONGOING PARTNERSHIPS WITH SEVERAL COMMUNITY-BASED ORGANIZATIONS AND HEALTH CARE CLINICS TH AT PROVIDE VALUABLE INPUT ON THE HEALTH NEEDS OF COMMUNITY MEMBERS WE PARTNER WITH CLINIC S THAT SERVE THE LOW- INCOME RESIDENTS OF MONTGOMERY COUNTY, MANY OF WHOM ARE LIMITED ENGLI SH PROFICIENT AND/OR RACIAL AND ETHNIC MINORITIES ONE OF ADVENTIST HEALTHCARE'S SAFETY NET CLINIC PARTNERS IS MERCY HEALTH CLINIC, WHICH PROVIDES PRIMARY CARE TO UNINSURED, LOW-IN COME ADULT RESIDENTS OF MONTGOMERY COUNTY ADVENTIST HEALTHCARE ALSO PARTNERS WITH MERCY H EALTH CLINIC BY PROVIDING FREE DIAGNOSTIC SERVICES/LAB WORK TO THEIR UNINSURED PATIENTS A NOTHER KEY PARTNER IS MOBILE MEDICAL CARE (MOBILE MED), WHICH OPERATES THREE MOBILE HEALTH CARE VEHICLES AND PROVIDES PRIMARY AND PREVENTATIVE HEALTHCARE TO THE UNINSURED, LOW INCOM E, WORKING POOR AND HOMELESS IN MONTGOMERY COUNTY IN ADDITION, ADVENTIST HEALTHCARE CONVE NED A COMMUNITY ADVISORY BOARD TO HELP GUIDE OUR EFFORTS TO REDUCE AND ELIMINATE HEALTH DI SPARITIES,TO IDENTIFY COMMUNITY NEEDS, AND TO HELP ASSESS AND DIRECT OUR RESPONSE TO THOSE NEEDS THE ADVISORY BOARD IS COMPRISED OF BOTH INTERNAL AND EXTERNAL/COMMUNITY LEADERS A DVENTIST HEALTHCARE COMMUNITY BENEFIT ADVISORY BOARD MEMBERS > AISHA BIVENS, JD, BSN, ASS OCIATE VICE PRESIDENT OF CLINICAL EFFECTIVENESS, WASHINGTON ADVENTIST HOSPITAL, > PERRY CH AN, SENIOR PROGRAM COORDINATOR, ASIAN AMERICAN HEALTH INITIATIVE, MONTGOMERY COUNTY DEPART MENT OF HEALTH AND HUMAN SERVICES, > IRENE DANKWA-MULLAN, MD, MPH, DIRECTOR, OFFICE OF INN OVATION AND PROGRAM COORDINATION, NATIONAL INSTITUTE ON MINORITY HEALTH AND HEALTH DISPARI TIES, > STEVE GALEN, MS, PRESIDENT AND CEO, PRIMARY CARE COALITION OF MONTGOMERY COUNTY, > CAROL W GARVEY, MD, MPH, CHAIR, PRIMARY CARE COALITION, > CARLESSIA HUSSEIN, DRPH, RN, DIRECTOR, OFFICE OF MINORITY HEALTH AND HEALTH DISPARITIES, MARYLAND DEPARTMENT OF HEALTH A ND MENTAL HYGIENE, > JUDY LICHTY, MPH, REGIONAL DIRECTOR, HEALTH AND WELLNESS, ADVENTIST H EALTHCARE, > SKIP MARGOT, RN, MS, CNE AND VP OF PATIENT CARE SERVICES, SHADY GROVE MEDICAL CENTER, > SONIA MORA, RN, MANAGER, PUBLIC HEALTH SERVICES/LATINO HEALTH INITIATIVE, MONTG OMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES, > RICHARD "DICK" PAVLIN, MHCA, EXECU TIVE DIRECTOR, MERCY HEALTH CLINIC, > OLIVIA CARTER-POKRAS, PHD, ASSOCIATE PROFESSOR, UNIV ERSITY OF MARYLAND COLLEGE PARK, SCHOOL OF PUBLIC HEALTH, > HOWARD ROSS, CHIEF LEARNING OF FICER, COOK ROSS, INC, >TERRENCE P SHEEHAN, MD, CHIEF MEDICAL OFFICER, ADVENTIST REHABI LITATION HOSPITAL OF MARYLAND, > TOM SWEENEY, RN, MBA, FACHE, VICE PRESIDENT - CHIEF NURSI NG OFFICER, WASHINGTON ADVENTIST HOSPITAL, > LOIS A WESSEL, RN CFNP, ASSOCIATE DIRECTOR F OR PROGRAMS, ASSOCIATION OF CLINICIANS FOR THE UNDERSERVED,FINALLY,THE COMMUNITY'S PERSPE CTIVE WAS OBTAINED THROUGH A COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY OFFERED TO THE PUBLI C THROUGH POSTINGS ON ADVENTIST HEALTHCARE ENTITY FACEBOOK PAGES, NEWSLETTERS, LIST SERVES, AND MEETINGS WITH COMMUNITY LEADERS A 25

78 Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1], 3, 4, 5d, 6i, 7, 10, 11, 121, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility re p ortin g g rou p, desi g nated b y "Facility A, " " Facility 13, " etc. Form and Line Reference Explanation BEHAVIORAL HEALTH&WELLNESS SERVICES-ROCK -ITEM SURVEY, AVAILABLE ONLINE THROUGH SURVEYMONKEY COM,ASKED COMMUNITY MEMBERS AND COMMU NITY LEADERS ALIKE TO PROVIDE SO CIO DEMOGRAPHIC INFORMATION, HEALTH NEEDS, PROBLEMS AFFECTI NG THE HEALTH OF THE COMMUNITY, BARRIERS TO ACCESSING CARE, AND STRENGTHS/RESOURCES IN THE COMMUNITY

79 Form 990 Part V Section C Supplemental Information for Part V, Section B. Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1], 3, 4, 5d, 6i, 7, 10, 11, 121, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facilit y in a facilit y report n g rou p, desi g nated b y "Facility A, " "Facility 13, " etc. Form and Line Reference BEHAVIORAL HEALTH&WELLNESS SVS-E SHORE Explanation PART V, SECTION B, LINE 5 ADVENTIST HEALTHCARE BEHAVIORAL HEALTH AND WELLNESS SERVICES EASTERN SHORE (BHWS-ES) BELIEVES THAT MENTAL HEALTH CARE IS BEST DELIVERED THROUGH PROGRAMS AND SERVICES THAT ADDRESS THE NEEDS OFTHE COMMUNITY IT SERVES THE LOCAL COMMUNITY ADVISORY BOARD (CAB) OF BHWS-ES WAS FORMED FOR THE PURPOSE OF PROVIDING BETTER SERVICES FOR OUR RESIDENTS AND HEIR FAMILIES, THROUGH INTERACTIVE AND PARTICIPATORY INPUT WITHIN THE GROUP AND TO TREAT "SHORE KIDS" ON THE SHORE THROUGH REGULAR AND PRODUCTIVE DIALOGUE WITH ITS COMMUNITY ADVISORY BOARD, BHWS-ES AIMS TO STRENGTHEN ITS EXISTING PROGRAMS AND ADDRESS GAPS IN MENTAL HEALTH CARE THE COMMUNITY ADVISORY BOARD CONSISTS OF MEMBERS WHO HAVE DEMONSTRATED AN INTEREST IN THE MENTAL HEALTH CONCERNS OFTHE COMMUNITY THROUGH THEIR WORK OR VOLUNTEER SERVICES THIS INCLUDES, BUT IS NOT LIMITED TO PARENT/FAMILY NAVIGATORS, MID- SHORE MENTAL HEALTH CORE SERVICE AGENCY REPRESENTATIVE, PARENTS OF PATIENTS, DORCHESTER COUNTY DEPARTMENT OFJUVENILE SERVICES PROGRAM SUPERVISOR, WICOMICO SOMERSET REGIONAL CORE SERVICE AGENCY REPRESENTATIVE, DORCHESTER COUNTY DEPARTMENT OF SOCIAL SERVICES REPRESENTATIVE, EASTERN SHORE MOBILE CRISIS REPRESENTATIVE, AND DORCHESTER COUNTY PUBLIC SCHOOLS SPECIAL EDUCATION NON-PUBLIC COORDINATOR THE COMMUNITY ADVISORY BOARD WAS BEING LED BY KEVIN DRUMHELLER, EXECUTIVE DIRECTOR OF ADVENTIST BEHAVIORAL HEALTH EASTERN SHORE, AND BARBARA COLEMAN, SCRIBE THE COMMUNITY ADVISORY BOARD FOR BHWS-ES HELD ITS FIRST MEETING IN NOVEMBER 2012 AND MEETS QUARTERLY ADVENTIST HEALTHCARE BEHAVIORAL HEALTH AND WELLNESS SERVICES EASTERN SHORE COMMUNITY ADVISORY BOARD MEMBERS >AUDRA CHERBONNIER, FAMILY NAVIGATOR, PARENT, MARYLAND COALITION OF FAMILIES, > ADELAIDE (ADDIE) ECKARDT, DELEGATE, HOUSE OF DELEGATES,> REBECCA HUTCHISON, CHILD AND ADOLESCENT COORDINATOR, MID SHORE MENTAL HEALTH SYSTEMS, > DIANE LANE, EXECUTIVE DIRECTOR AND PARENT, CHESAPEAKE VOYAGERS, INC, > KENNETH MALIK, CHIEF, CAMBRIDGE POLICE DEPARTMENT, > CAROL MASDEN, DIRECTOR AND PARENT, EASTERN SHORE MOBILE CRISIS, > CHRISTOPHER MIELE, PROGRAM SUPERVISOR, DEPARTMENT OF JUVENILE SERVICES, > HEIDI ROCHON, DIRECTOR AND PARENT, MARYLAND COALITION OF FAMILIES, > DARLENE SAMPSON, ASSISTANT DIRECTOR OF SERVICES, DORCHESTER COUNTY DEPARTMENT OF SOCIAL SERVICES,> CHALARRA SESSOMS, CHILD AND ADOLESCENT DIRECTOR, WICOMICO/SOMERSET BEHAVIORAL HEALTH AUTHORITY, > BERNADETT TOWNSEND, FAMILY NAVIGATOR AND PARENT, MARYLAND COALITION OF FAMILIES, > DEBBIE USAB, DIRECTOR, DORCHESTER COUNTY PUBLIC SCHOOLS SPECIAL EDUCATION,IN ADDITION TO HE ADVISORY BOARD,THE STAFF OF ADVENTIST HEALTHCARE AND BHWS-ES PARTICIPATES IN VARIOUS WAYS IN THE COMMUNITY WE ACTIVELY PARTICIPATE IN NUMEROUS COMMITTEES, COALITIONS, AND PARTNERSHIPS THAT PROVIDE INFORMATION ON THE HEALTH NEEDS IN THE COMMUNITY THE HEALTH PROFESSIONALS THAT PROVIDE PROGRAMS IN THE COMMUNITY ALSO PROVIDE VALUABLE INFORMATION AND KNOWLEDGE OF COMMUNITY NEEDS

80 Form 990 Part V Section C Supplemental Information for Part V, Section B. Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1], 3, 4, 5d, 6i, 7, 10, 11, 121, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facilit y in a facilit y re p o tin g rou p, desi g nated b y "Facility A, " "Facility 13, " etc. Form and Line Reference Explanation SHADY GROVE MEDICAL CENTER PART V, SECTION B, LINE 7D A HARD COPY OF THE CHNA IS ALSO AVAILABLE UPON REQUEST FROM THE ADVENTIST HEALTHCARE SUPPORT CENTER (CORPORATE OFFICE) WHICH IS LOCATED AT 820 WEST DIAMOND AVENUE 4TH FLOOR, GAITHERSBURG, MD 20878,PART V, SECTION B, LINE 7A THE CHNA REPORT CAN BE FOUND ON EITHER ONE OF THESE URLS HTTP //WWWADVENTISTHEALTHCARE COM/APP/FILES/PUBLIC/3166/2013- CHNA- SGAH PDF,OR,HTTP //WWWADVENTISTHEALTHCARE COM/ABOUT/COMMUNITY/HEALTH- NEEDS-ASSESSMENTPART V, SECTION B, LINE 10A THE IMPLEMENTATION STRATEGY IS FOUND ON THIS URL WWWADVENTISTHEALTHCARE COM/APP/FILES/PUBLIC/3339/2013- CHNA-SGAH- IMPLEMENTATIONSTRATEGY PDF

81 Form 990 Part V Section C Supplemental Information for Part V, Section B. Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1], 3, 4, 5d, 6i, 7, 10, 11, 121, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facilit y in a facilit y re p o tin g rou p, desi g nated b y "Facility A, " " Facilit y 13, " etc. Form and Line Reference Explanation WASHINGTON ADVENTIST PART V, SECTION B, LINE 7D A HARD COPY OF THE CHNA IS ALSO AVAILABLE UPON HOSPITAL REQUEST FROM THE ADVENTIST HEALTHCARE SUPPORT CENTER (CORPORATE OFFICE) WHICH IS LOCATED AT 820 WEST DIAMOND AVENUE 4TH FLOOR, GAITHERSBURG, MD 20878PART V, SECTION B, LINE 7A THE CHNA REPORT CAN BE FOUND ON EITHER ONE OF THESE URLS HTTP //WWWADVENTISTHEALTHCARE COM/APP/FILES/PUBLIC/3167/2013- CHNA-WAH PDF,OR,HTTP //WWWADVENTISTHEALTHCARE COM/ABOUT/COMMUNITY/HEALTH- NEEDS-ASSESSMENTPART V, SECTION B, LINE 10A THE IMPLEMENTATION STRATEGY IS FOUND ON THIS URLWWWADVENTISTHEALTHCARE COM/APP/FILES/PUBLIC/3338/2013- CHNA-WAH- IMPLEMENTATIONSTRATEGY PDF

82 Form 990 Part V Section C Supplemental Information for Part V, Section B. Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1], 3, 4, 5d, 6i, 7, 10, 11, 121, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facilit y in a facilit y re p o tin g rou p, desi g nated b y "Facility A, " "Facility 13, " etc. Form and Line Reference DVENTIST REHABILITATION HOSPITAL OF MARYLAND Explanation PART V, SECTION B, LINE 7D A HARD COPY OF THE CHNA IS ALSO AVAILABLE UPON REQUEST FROM THE ADVENTIST HEALTHCARE SUPPORT CENTER (CORPORATE OFFICE) WHICH IS LOCATED AT 820 WEST DIAMOND AVENUE 4TH FLOOR, GAITHERSBURG, MD 20878PART V, SECTION B, LINE 7A THE CHNA REPORT CAN BE FOUND ON EITHER ONE OF THESE URLS HTTP //WWWADVENTISTHEALTHCARE COM/APP/FILES/PUBLIC/3275/2013- CHNA- RHM PDF,OR,HTTP //WWWADVENTISTHEALTHCARE COM/ABOUT/COMMUNITY/HEALTH- NEEDS-ASSESSMENTPART V, SECTION B, LINE 10A THE IMPLEMENTATION STRATEGY IS FOUND ON THIS URL WWWADVENTISTHEALTHCARE COM/APP/FILES/PUBLIC/3446/2013- CHNA-ARHM- IMPLEMENTATIONSTRATEGY PDF

83 Form 990 Part V Section C Supplemental Information for Part V, Section B. Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1], 3, 4, 5d, 6i, 7, 10, 11, 121, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facilit y in a facilit y re p o tin g rou p, desi g nated b y "Facility A, " "Facility 13, " etc. Form and Line Reference Explanation BEHAVIORAL HEALTH&WELLNESS PART V, SECTION B, LINE 7D A HARD COPY OF THE CHNA IS ALSO AVAILABLE UPON SERVICES-ROCK REQUEST FROM THE ADVENTIST HEALTHCARE SUPPORT CENTER (CORPORATE OFFICE) WHICH IS LOCATED AT 820 WEST DIAMOND AVENUE 4TH FLOOR, GAITHERSBURG, MD 20878PART V, SECTION B, LINE 7A THE CHNA REPORT CAN BE FOUND ON EITHER ONE OF THESE URLS HTTP //WWWADVENTISTHEALTHCARE COM/APP/FILES/PUBLIC/3274/2013- CHNA-ABH- RV PDF,OR,HTTP //WWWADVENTISTHEALTHCARE COM/ABOUT/COMMUNITY/HEALTH-NEEDS- SSESSMENTPART V, SECTION B, LINE 10A THE IMPLEMENTATION STRATEGY IS FOUND ON HIS URL WWWADVENTISTHEALTHCARE COM/APP/FILES/PUBLIC/3447/2013-CHNA-ABH-RV- IMPLEMENTATIONSTRATEGY PDF

84 Form 990 Part V Section C Supplemental Information for Part V, Section B. Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1], 3, 4, 5d, 6i, 7, 10, 11, 121, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facilit y in a facilit y re p o tin g rou p, desi g nated b y "Facility A, " "Facility 13, " etc. Form and Line Reference Explanation BEHAVIORAL HEALTH&WELLNESS PART V, SECTION B, LINE 7D A HARD COPY OF THE CHNA IS ALSO AVAILABLE UPON SVS-E SHORE REQUEST FROM THE ADVENTIST HEALTHCARE SUPPORT CENTER (CORPORATE OFFICE) WHICH IS LOCATED AT 820 WEST DIAMOND AVENUE 4TH FLOOR, GAITHERSBURG, MD 20878PART V, SECTION B, LINE 7A THE CHNA REPORT CAN BE FOUND ON EITHER ONE OF THESE URLS HTTP //WWWADVENTISTHEALTHCARE COM/APP/FILES/PUBLIC/3273/2013- CHNA-ABH- ES PDF,OR,HTTP //WWWADVENTISTHEALTHCARE COM/ABOUT/COMMUNITY/HEALTH-NEEDS- SSESSMENTPART V, SECTION B, LINE 10A THE IMPLEMENTATION STRATEGY IS FOUND ON HIS URL WWWADVENTISTHEALTHCARE COM/APP/FILES/PUBLIC/3448/2013-CHNA-ABH-ES- IMPLEMENTATIONSTRATEGY PDF

85 Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1], 3, 4, 5d, 6i, 7, 10, 11, 121, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facilit y in a facilit y re p ortin g g rou p, desi g nated b y "Facility A, " "Facility 13, " etc. Form and Line Reference Explanation SHADY PART V, SECTION B, LINE 11 BASED ON THE CHNA COMPLETED IN 2013, AN IMPLEMENTATION STRATEGY WAS GROVE ADOPTED FOCUSING ON (1)THE EARLY SCREENING AND DETECTION OF LUNG CANCER AMONG THE A SIAN MEDICAL POPULATION, AND (2) DIABETES MANAGEMENT AMONG THE UNINSURED LUNG CANCER ADVENTIST HE ALTHCARE CENTER SHADY GROVE MEDICAL CENTER (SGMC) HAS IMPLEMENTED A PROGRAM TO IMPROVE EARLY SCRE ENING AND DETECTION OF LUNG CANCER AMONG THE ASIAN POPULATION IT SERVES THROUGH THIS INIT IATIVE, SGMC OFFERS LOW-DOSE CT LUNG CANCER SCREENINGS FOR HIGH-RISK ASIAN PACIFIC ISLANDE R COMMUNITIES STRATEGIES FOR THIS INITIATIVE INCLUDE > AN EARLY DETECTION LUNG CANCER SC REENING PROGRAM TARGETED TO THE ASIAN POPULATION SCREENING EVENTS TAKE PLACE ON A QUARTERLY BASIS, INTERPRETER SERVICES ARE MADE AVAILABLE AT EACH SCREENING EVENT AND DURING PHONE REGISTRATION PRIOR TO EACH EVENT, > ROUTINE FOLLOW-UP PROCESSES FOR IDENTIFIED LUNG NODUL ES ALL SUSPICIOUS LUNG NODULES ARE REVIEWED BY A MULTIDISCIPLINARY PHYSICIAN GROUP, PARTI CIPANTS ARE PROVIDED WITH A CD OF THEIR SCANS AT THE TIME OF THE SCREENING, SCREENING RESU LTS LETTERS ARE SENT TO EACH PARTICIPANT AS WELL AS TO THEIR PRIMARY CARE PHYSICIAN, PARTI CIPANTS RECOMMENDED FOR FOLLOW-UP ARE SENT REMINDERS VIA LETTERS AND PHONE CALLS AT APPROP RIATE TIMES, >TOBACCO CESSATION COUNSELING TOBACCO CESSATION COUNSELORS ATTEND EACH SCRE ENING AND PROVIDE PARTICIPANTS WITH COUNSELING AND LITERATURE (AVAILABLE IN TOP ASIAN LANG UAGES IN THE AREA), IN ADDITION, PARTICIPANTS ARE PROVIDED THE OPPORTUNITY TO ENROLL IN AD VENTIST HEALTHCARE'S FREE TOBACCO CESSATION PROGRAM WHICH INCLUDES 1 YEAR OF FOLLOW-UP COU NSELING AND NICOTINE REPLACEMENT THERAPY AS NEEDED, > COMMUNITY OUTREACH TO THE ASIAN POPU LATION TARGETED OUTREACH TAKES PLACE FOR EACH SCREENING INCLUDING REACHING OUT TO LOCAL C HINESE AND KOREAN PHYSICIANS AND PHYSICIANS SERVING THE ASIAN COMMUNITY IN THE HOSPITAL'S SERVICE AREA, DISTRIBUTING TRANSLATED FLYERS AT LOCAL EVENTS, PARTNERING WITH LOCAL COMMUN ITY-BASED ORGANIZATIONS SERVING THE ASIAN COMMUNITY TO SPREAD THE WORD ABOUT THE SCREENING S, AND RELEASING ADVERTISEMENTS IN LOCAL CHINESE AND KOREAN LANGUAGE NEWSPAPERS DIABETES SGMC HAS IMPLEMENTED A PROGRAM TO IMPROVE DIABETES CONTROL AND MANAGEMENT AMONG UNINSURED INDIVIDUALS, PARTICULARLY THOSE IN THE MONTGOMERY CARES PROGRAM THROUGH THIS INITIATIVE, SGMC HAS PARTNERED WITH PRIMARY CARE COALITION AND SEVERAL SAFETY NET CLINICS TO MONITOR A ND IMPROVE HEMOGLOBIN A1C SCREENING FREQUENCY, AND WITH SGMC FOUNDATION TO PROVIDE FREE DI ABETES EDUCATION CLASSES STRATEGIES FOR THIS INITIATIVE INCLUDE THROUGH AMBULATORY CARE EMR SUPPORT (ACES), IMPLEMENTING THE ECLINICALWORKS EMR SYSTEM AT 8 SAFETY NET CLINICS, CO NNECTING THE 8 SAFETY NET CLINICS TO ADVENTIST HEALTHCARE'S HEALTH INFORMATION EXCHANGE (H IE), PROVIDING TRAINING, SUPPORT, DATA EXTRACTION, AND PATIENT RECONCILIATION SERVICES TO THE 8 CLINICS FOR ECLINICALWORKS AND THE HIE, PARTNERING WITH PRIMARY CARE COALITION TO CO NDUCT QUARTERLY REVIEWS OF HEMOGLOBIN A1C SCREENING FREQUENCY DATA AMONG THE 8 CLINICS, PA RTNERING WITH THE 8 CLINICS AND THE ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER FOUNDA TION TO OFFER DIABETES EDUCATION CLASSES FREE OF CHARGE TO THE UNINSURED, OFFERING PRE-DIA BETES CLASSES FREE OF CHARGE CLASSES FOLLOW AN EVIDENCE-BASED CURRICULUM DEVELOPED BY THE NATIONAL DIABETES EDUCATION PROGRAM AND CONSIST OFTWO 2-HOUR SESSIONS TAKING PLACE EVERY OTHER MONTH AT SGMC, OFFERING A FREE 1-HOUR NUTRITION AND COOKING CLASS ON A MONTHLY BASI SAT SGMC ADDITIONAL AREAS OF NEED ADDRESSED BY SGMC BREAST CANCER-PROVIDE FREE MAMMOGRA M SCREENINGS, NAVIGATION, BIOPSIES, ULTRASOUNDS, SURGERIES, AND TREATMENT FOR THE UNINSURED ENCOURAGE PREVENTION AND EARLY DETECTION THROUGH EDUCATION AT COMMUNITY HEALTH FAIRS,A ND COMMUNITY LOCATIONS SERVING VULNERABLE POPULATIONS, COLORECTAL CANCER-PROVIDE COLONOSCO PIES FOR TARGET POPULATION AND REFER PATIENTS WITH ABNORMAL FINDINGS TO MONTGOMERY CANCER CRUSADES FOR FURTHER TREATMENT ENCOURAGE PREVENTION AND EARLY DETECTION THROUGH EDUCATION AT COMMUNITY HEALTH FAIRS, AND COMMUNITY LOCATIONS SERVING VULNERABLE POPULATIONS, CANCER (OTHER)-PARTNER WITH PHYSICIANS TO PROVIDE FREE ANNUAL CANCER SCREENINGS TO THE COMMUNITY,TARGETING BREAST, PROSTATE, COLORECTAL, ORAL, SKIN AND THYROID CANCER ADDITIONALLY, BI LINGUAL CANCER OUTREACH COORDINATORS ENCOURAGE PREVENTION AND EARLY DETECTION BY PROVIDING EDUCATIONAL PRESENTATIONS AND MATERIALS TO UNDERSERVED AND AT-RISK POPULATIONS AT COMMUNI TY LOCATIONS, HEART DISEASE AND STROKE-HOLD ANNUAL "LOVE YOUR HEART" SCREENING EVENTS TO P ROVIDE FREE SCREENINGS TO COMMUNITY MEMBERS FOR BLOOD PRESSURE, CHOLESTEROL, GLUCOSE, WAI ST CIRCUMFERENCE, BMI, BODY COMPOSITION, AND SLEEP APNEA, AS WELL AS 1 1 COUNSELING WITH A CLINICIAN OFFER LIPID PROFILE, VERTICAL AUTO PROFILE, HOMOCYSTEINE, HSCRP, BLOOD PRESSURE, GLUCOSE AND A1C SCREENINGS, AND PROVIDE FREE EDUCATIONAL LECTURES TO THE COMMUNITY PRO VIDE "HEALTHY CHOICES PROGRAM" IN DAMASCUS TO PROV

86 Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1], 3, 4, 5d, 6i, 7, 10, 11, 121, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facilit y in a facilit y re p ortin g g rou p, desi g nated b y "Facility A, " "Facility 13, " etc. Form and Line Reference Explanation SHADY IDE WOMEN OF LOW SOCIO-ECONOMIC STATUS INFORMATION AND SUPPORT TO ASSIST THEM IN MAKING HE GROVE ALTHIER CHOICES FOR THEMSELVES AND THEIR CHILDREN, OBESITY-PROVIDE 1 1 HEALTH EDUCATION AN D MEDICAL GROUP PRESENTATIONS ABOUT HEALTHY NUTRITION AND THE IMPORTANCE OF EXERCISE AT HEALTH FAI RS, CENTER SENIOR AND COMMUNITY CENTERS, AND FAITH-BASED ORGANIZATIONS CONTINUE IMPLEMENTING THE "HEALTHY CHOICES PROGRAM" FOR LOW-INCOME WOMEN PROVIDE AFFORDABLE INDIVIDUAL NUTRITION C OUNSELING TO THE COMMUNITY IMPLEMENTED NUTRITION AND FITNESS CHALLENGE PROGRAM IN COLLABO RATION WITH DAWSON'S MARKET (LOCAL NATURAL FOODS MARKET), INFLUENZA-PROVIDE LOW COST FLU S HOT CLINICS THROUGHOUT MONTGOMERY COUNTY TO CHILDREN, ADULTS AND SENIORS AT COMMUNITY CENT ERS, SENIOR CENTERS, FAITH-BASED ORGANIZATIONS, THE HOSPITAL, AND SUBSIDIZED APARTMENT COM PLEXES PARTNER WITH WTOP RADIO TO PROVIDE HUNDREDS OF FREE FLU SHOTS TO THE COMMUNITY AT LARGE, MATERNAL & INFANT HEALTH-IN ADDITION TO CHILDBIRTH, BREASTFEEDING, AND PARENTING CL ASSES, SGMC OFFERS FREE PROGRAMS TO ITS PATIENTS, SUCH AS BEST (BREASTFEEDING, EDUCATION, SUPPORT AND TOGETHERNESS)TO PROMOTE AND SUPPORT BREASTFEEDING,AND DISCOVERING MOTHERHOOD SUPPORT GROUP FOR NEW MOTHERS IN PARTNERSHIP WITH MONTGOMERY COUNTY HEALTH DEPARTMENT,A DVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER ALSO PROVIDES PRENATAL SERVICES TO LOW-INCO ME AND UNINSURED RESIDENTS, INCLUDING PRENATAL CARE, ROUTINE LAB TESTS, CLASSES AND DENTA L SCREENINGS, SENIOR HEALTH-SGMC OFFERS COMMUNITY HEALTH PROGRAMS FOR SENIORS AT DAMASCUS SENIOR CENTER, GAITHERSBURG UP-COUNTY SENIOR CENTER, ROCKVILLE SENIOR CENTER, REVITZ HOUS E, AS WELL AS NUMEROUS SUBSIDIZED SENIOR APARTMENT COMPLEXES PROGRAMS INCLUDE BUT ARE NOT LIMITED TO CLINICAL HEART HEALTH SCREENINGS, MONTHLY BLOOD PRESSURE SCREENINGS, WALKING C LUBS, CARDIOVASCULAR SUPPORT AND ACTIVITY GROUPS, AND EDUCATIONAL LECTURES AND HEALTH FAIRS AREAS OF NEED NOT DIRECTLY ADDRESSED BY SGMC AND THE RATIONALE ASTHMA-SGMC DOES NOT CUR RENTLY PROVIDE COMMUNITY OUTREACH AND EDUCATIONAL PROGRAMS SPECIFICALLY FOR ASTHMA BECAUSE ASTHMA PREVALENCE AND RATES OF ED VISITS IN MONTGOMERY COUNTY ARE BELOW RATES STATEWIDE, AND BECAUSE THERE ARE OTHER ASTHMA RESOURCES AVAILABLE IN THE COUNTY SGMC WILL CONTINUE T O MONITOR TRENDS IN ASTHMA TO DETERMINE WHETHER FUTURE REALLOCATION OF RESOURCES IS NEEDED TO PROVIDE ASTHMA- RELATED COMMUNITY PROGRAMS, HIV/AIDS-SGMC DOES NOT CURRENTLY PROVIDE CO MMUNITY OUTREACH AND EDUCATIONAL PROGRAMS FOR HIV/AIDS DUE TO LIMITED FINANCIAL RESOURCES ADVENTIST HEALTHCARE'S CENTER FOR HEALTH EQUITY AND WELLNESS LED AN INITIATIVE CALLED PRO JECT BEAT IT' (BECOMING EMPOWERED AFRICANS THROUGH IMPROVED TREATMENT OF TYPE 2 DIABETES, HIV/AIDS, AND HEPATITIS B), WHICH WAS A GRANT-FUNDED INITIATIVE FROM U S DHHS OFFICE OF M INORITY HEALTH THAT PROVIDED CULTURALLY APPROPRIATE HEALTH EDUCATION CLASSES TO HEALTH CARE PROVIDERS AND THE AFRICAN IMMIGRANT COMMUNITY TO IMPROVE HEALTH OUTCOMES RELATED TO THESE CHRONIC AND INFECTIOUS DISEASES THE 20-MONTH GRANT FUNDED PROJECT ENDED IN SEPTEMBER 20 13, BEHAVIORAL HEALTH-SGMC DOES NOT PROVIDE BEHAVIORAL HEALTH SERVICES BECAUSE THESE SERVI CES ARE ALREADY PROVIDED BY THE NEIGHBORING SPECIALTY CARE HOSPITAL WITHIN ITS HOSPITAL SY STEM, ADVENTIST HEALTHCARE BEHAVIORAL HEALTH AND WELLNESS SERVICES IN ADDITION TO ADVENTI ST HEALTHCARE BEHAVIORAL HEALTH AND WELLNESS SERVICES, THERE ARE MANY ORGANIZATIONS THAT PROVIDE BEHAVIORAL HEALTH SERVICES WITHIN THE SGMC SERVICE AREA, SOCIAL DETERMINANTS OF HEA LTH (FOOD ACCESS, HOUSING QUALITY, EDUCATION, TRANSPORT)-SGMC DOES NOT DIRECTLY ADDRESS MA NY OFTHE SOCIAL DETERMINANTS OF HEALTH BECAUSE THOSE ARE NOT SPECIALTY AREAS OFTHE HOSPI TALAND SGMC DOES NOT HAVE THE RESOURCES OR EXPERTISE TO MEET MANY OFTHESE NEEDS INSTEAD, SGMC PARTNERS WITH AND SUPPORTS OTHER ORGANIZATIONS IN THE COMMUNITY THAT SPECIALIZE IN ADDRESSING NEEDS RELATED TO FOOD ACCESS, HOUSING QUALITY, EDUCATION, TRANSPORTATION, AND 0 THER SOCIAL DETERMINANTS OF HEALTH

87 Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1], 3, 4, 5d, 6i, 7, 10, 11, 121, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facilit in a facilit y re p ortin g g rou p, desi g nated b y "Facility A, " "Facility 13, " etc. Form and Line Reference Explanation WASHINGTON PART V, SECTION B, LINE 11 BASED ON THE CHNA COMPLETED IN 2013, AN IMPLEMENTATION STRATEG Y ADVENTIST WAS ADOPTED FOCUSING ON (1) FLU PREVENTION, AND (2) BEHAVIORAL HEALTH FLU ADVENTIST HEA HOSPITAL LTHCARE WASHINGTON ADVENTIST HOSPITAL (WAH) HAS IMPLEMENTED STRATEGIES TO ADDRESS HIGH INF LUENZA-RELATED EMERGENCY ROOM RATES IN TARGETED AREAS STRATEGIES FOR THIS INITIATIVE INCL UDE > PARTNERING WITH COMMUNITY ORGANIZATIONS, PLACES OF WORSHIP, SENIOR CENTERS, COMMUNIT Y CENTERS, LOW-INCOME HOUSING COMPLEXES, AND COUNTY HEALTH DEPARTMENTS IN MONTGOMERY AND P RINCE GEORGE'S COUNTIES TO PROVIDE FREE OR LOW COST VACCINATIONS TO RESIDENTS WITH THE GRE ATEST NEED > PARTNERING WITH A MICRO-PRACTICE LOCATED IN ZIP CODE CALLED "CARE FOR Y OUR HEALTH" TO PROVIDE VACCINE TO UNDERSERVED PATIENTS THE PATIENT POPULATION SERVED BY T HE CARE FOR YOUR HEALTH MICROPRACTICE IS 75% HISPANIC, 12% BLACK, 5% WHITE, 4% ASIAN, AND 4% OTHER THE MAJORITY OF PATIENTS ARE SPANISH-SPEAKING > PARTNERING WITH LOCAL SAFETY NET CLINICS, COMMUNITY CLINIC, INC (FQHC) AND MOBILE MEDICAL CARE, INC TO PROVIDE FREE FLU VACCINE TO LOW-INCOME, UNINSURED RESIDENTS IN ADVENTIST HEALTHCARE WASHINGTON ADVENTIST H OSPITAL'S PRIMARY SERVICE AREA BEHAVIORAL HEALTH ADVENTIST HEALTHCARE WASHINGTON ADVENTIS T HOSPITAL HAS IMPLEMENTED STRATEGIES TO ADDRESS BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBS TANCE ABUSE) NEEDS IN THE POPULATION IT SERVES THE STRATEGIES INCLUDE > REFERRING ADMITT ED PATIENTS WITH IDENTIFIED CONDITIONS OF SUBSTANCE ABUSE AND/OR CHEMICAL DEPENDENCY TO AP PROPRIATE RESOURCES FOR INTERVENTION AND FOLLOW-UP AS NEEDED (E G, OUTPATIENT REHABILITAT ION PROGRAMS AND SUPPORT GROUPS),> ESTABLISHING A TRANSITIONAL CARE PLAN FOR DISCHARGED PA TIENTS WITH BIPOLAR DISORDER TO CONNECT THEM TO AN FQHC OR PRIMARY CARE PRACTICE FOR CARE THAT INCLUDES INTEGRATED BEHAVIORAL HEALTH AND HOME BASED CARE, > STRENGTHENING A PARTNERS HIP WITH VICTORY TOWER (LOW-INCOME SENIOR HOUSING LOCATED IN ZIP CODE 20912)TO PROVIDE CO UNSELING RESOURCES AND MATERIALS TO RESIDENTS REGARDING ALCOHOL AND SUBSTANCE ABUSE THROU GH THIS PARTNERSHIP, WAH HAS PROVIDED VICTORY TOWER WITH SEVERAL SERVICES ON-SITE INCLUDIN G MONTHLY BLOOD PRESSURE AND OTHER HEALTH SCREENINGS, HEALTH FAIRS, EDUCATIONAL LECTURES AND DEMONSTRATIONS, AND A BIWEEKLY WELLNESS CIRCLE/SUPPORT GROUP FOR ALCOHOL AND SUBSTANCE ABUSE LED BY A CERTIFIED CHEMICAL DEPENDENCE COUNSELOR ADDITIONAL AREAS OF NEED ADDRESSED BY WAH > BREAST CANCER PROVIDE FREE MAMMOGRAM SCREENINGS, NAVIGATION, BIOPSIES, ULTRASOU NDS,SURGERIES, ANDTREATMENT FOR THE UNINSURED ENCOURAGE PREVENTION & EARLY DETECTION TH ROUGH EDUCATION AT COMMUNITY HEALTH FAIRS, AND COMMUNITY LOCATIONS SERVING VULNERABLE POPU LATIONS >COLORECTAL CANCER PROVIDE FREE COLONOSCOPIES FOR TARGET POPULATION AND REFER PA TIENTS WITH ABNORMAL FINDINGS TO MONTGOMERY CANCER CRUSADES FOR FURTHER TREATMENT ENCOURA GE PREVENTION & EARLY DETECTION THROUGH EDUCATION AT COMMUNITY HEALTH FAIRS, AND COMMUNITY LOCATIONS SERVING VULNERABLE POPULATIONS > CANCER (OTHER) WAH PARTNERS WITH PHYSICIANS T O PROVIDE FREE ANNUAL CANCER SCREENINGS TO THE COMMUNITY, TARGETING BREAST, PROSTATE, COLORECTAL, ORAL, SKIN AND THYROID CANCER ADDITIONALLY, BILINGUAL CANCER OUTREACH COORDINATO RS ENCOURAGE PREVENTION AND EARLY DETECTION BY PROVIDING EDUCATIONAL PRESENTATIONS AND MAT ERIALS TO UNDERSERVED AND AT-RISK POPULATIONS AT COMMUNITY LOCATIONS WAH ALSO PROVIDES TO BACCO CESSATION EDUCATION AND COUNSELING AS WELL AS NICOTINE REPLACEMENT THERAPY (NRT) AT NO COST TO ELIGIBLE PATIENTS > DIABETES PROVIDE INPATIENT AND OUTPATIENT SERVICES AND EDU CATION FOR DIABETES, AND ITS CENTER FOR ADVANCED WOUND CARE & HYPERBARIC MEDICINE TREATS WOUNDS DUE TO COMPLICATIONS OF DIABETES PROVIDE DIABETIC EDUCATION CLASSES INCLUDING FREE PRE-DIABETES CLASSES AND COOKING/NUTRITION CLASSES ENCOURAGE DIABETES PREVENTION THROUGH EDUCATION AT COMMUNITY HEALTH FAIRS AND COMMUNITY LOCATIONS > HEART DISEASE AND STROKE H OLD ANNUAL "LOVE YOUR HEART" SCREENING EVENTS TO PROVIDE FREE SCREENINGS TO COMMUNITY MEMB ERS FOR BLOOD PRESSURE, CHOLESTEROL, GLUCOSE, WAIST CIRCUMFERENCE, BMI, BODY COMPOSITION, AND SLEEP APNEA, AS WELL AS 1 1 COUNSELING WITH A CLINICIAN OFFER LIPID PROFILE, VERTICA L AUTO PROFILE, HOMOCYSTEINE, HSCRP, BLOOD PRESSURE, GLUCOSE AND A1C SCREENINGS, AS WELL A S FREE EDUCATIONAL LECTURES TO THE COMMUNITY WAH ALSO OFFERS THE COMPLETE HEALTH IMPROVEM ENT PROGRAM (CHIP), WHICH COUNSELS PARTICIPANTS ON HEALTHY CHOICES REGARDING DIET AND WEIG HT MANAGEMENT > OBESITY PROVIDE 1 1 HEALTH EDUCATION AND GROUP PRESENTATIONS ABOUT HEALTH Y NUTRITION AND THE IMPORTANCE OF EXERCISE AT HEALTH FAIRS, SENIOR AND COMMUNITY CENTERS, AND FAITH-BASED ORGANIZATIONS PROVIDE AFFORDABLE INDIVIDUAL NUTRITION COUNSELING TO THE C OMMUNITY WAH ALSO OFFERS THE COMPLETE HEALTH IMPROVEMENT PROGRAM (CHIP), WHICH COUNSELS P ARTICIPANTS ON HEALTHY CHOICES REGARDING DIET AND WEIGHT MANAGEMENT > MATERNAL AND INFANT HEALTH IN ADDITION TO CHILDBIRTH, BREASTFEEDING,

88 Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1], 3, 4, 5d, 6i, 7, 10, 11, 121, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facilit in a facilit y re p ortin g g rou p, desi g nated b y "Facility A, " "Facility 13, " etc. Form and Line Reference Explanation WASHINGTON AND PARENTING CLASSES, WAH OFFERS FREE PROGRAMS TO ITS PATIENTS, SUCH AS BEST (BREASTFEEDI NG, ADVENTIST EDUCATION, SUPPORT &TOGETHERNESS)TO PROMOTE AND SUPPORT BREASTFEEDING IN PARTNERSHI P HOSPITAL WITH THE MONTGOMERY COUNTY MATERNITY PARTNERSHIP PROGRAM, WAH PROVIDES PRENATAL SERVICES TO LOW-INCOME AND UNINSURED RESIDENTS, INCLUDING PRENATAL CARE, ROUTINE LAB TESTS, EDUCA TIO N/CLASSES AND DENTAL SCREENINGS WAH ALSO SUPPORTS MARY'S CENTER FOR MATERNAL AND CHILD CARE, WHICH PROVIDES CULTURALLY AND LINGUISTICALLY COMPETENT CARE TO LOW-INCOME, UNINSURE D INDIVIDUALS AND FAMILIES > SENIOR HEALTH WAH OFFERS COMMUNITY HEALTH PROGRAMS FOR SENIO RS AT LONG BRANCH COMMUNITY CENTER, TAKOMA PARK COMMUNITY CENTER, MID-COUNTY COMMUNITY CE NTER, BOWIE SENIOR CENTER, VICTORY TOWERS, GREEN RIDGE HOUSE, SPRINGVALE TERRACE, AS WELL AS NUMEROUS OTHER SUBSIDIZED SENIOR APARTMENT COMPLEXES PROGRAMS INCLUDE BUT ARE NOT LIMI TED TO CLINICAL HEART HEALTH SCREENINGS, MONTHLY BLOOD PRESSURE SCREENINGS, WALKING CLUBS, CARDIOVASCULAR SUPPORT AND ACTIVITY GROUPS, AND EDUCATIONAL LECTURES AND HEALTH FAIRS ARE AS OF NEED NOT DIRECTLY ADDRESSED BY ADVENTIST HEALTHCARE WASHINGTON ADVENTIST HOSPITAL AN D THE RATIONALE >ASTHMA WAH DOES NOT CURRENTLY PROVIDE COMMUNITY OUTREACH AND EDUCATIONA L PROGRAMS SPECIFICALLY FOR ASTHMA BECAUSE ASTHMA PREVALENCE AND RATES OF ER VISITS IN MON TGOMERY COUNTY AND PRINCE GEORGE'S COUNTY ARE BELOW RATES STATEWIDE, AND BECAUSE THERE ARE OTHER ASTHMA RESOURCES AVAILABLE IN THE COUNTY WAH WILL CONTINUE TO MONITOR TRENDS IN ASTHMA TO DETERMINE WHETHER FUTURE REALLOCATION OF RESOURCES IS NEEDED TO PROVIDE ASTHMA-REL ATED COMMUNITY PROGRAMS > HIV/AIDS WAH DOES NOT CURRENTLY PROVIDE COMMUNITY OUTREACH AND EDUCATIONAL PROGRAMS FOR HIV/AIDS DUE TO LIMITED FINANCIAL RESOURCES, AND BECAUSE MANY HIV /AIDS SERVICES ARE PROVIDED BY OTHER LOCAL ORGANIZATIONS ADVENTIST HEALTHCARE'S CENTER ON HEALTH DISPARITIES LED AN INITIATIVE CALLED PROJECT BEAT IT' (BECOMING EMPOWERED AFRICANS THROUGH IMPROVED TREATMENT OFTYPE 2 DIABETES, HIV/AIDS, AND HEPATITIS B), WHICH WAS A GR ANT-FUNDED INITIATIVE FROM U S DHHS OFFICE OF MINORITY HEALTH THAT PROVIDED CULTURALLY AP PROPRIATE HEALTH EDUCATION CLASSES TO HEALTH CARE PROVIDERS AND THE AFRICAN IMMIGRANT COMM UNITY TO IMPROVE HEALTH OUTCOMES RELATED TO THESE CHRONIC AND INFECTIOUS DISEASES THE 20- MONTH GRANT FUNDED PROJECT ENDED IN SEPTEMBER 2013 > SOCIAL DETERMINANTS OF HEALTH (FOOD A CCESS, HOUSING QUALITY, EDUCATION, TRANSPORTATION WAH DOES NOT DIRECTLY ADDRESS MANY OFT HE SOCIAL DETERMINANTS OF HEALTH BECAUSE THOSE ARE NOT SPECIALTY AREAS OF THE HOSPITAL AND WAH DOES NOT HAVE THE RESOURCES OR EXPERTISE TO MEET MANY OF THESE NEEDS INSTEAD, WAH PA RTNERS WITH AND SUPPORTS OTHER ORGANIZATIONS IN THE COMMUNITY THAT SPECIALIZE IN ADDRESSIN G NEEDS RELATED TO FOOD ACCESS, HOUSING QUALITY, EDUCATION, TRANSPORTATION, AND OTHER SOCI AL DETERMINANTS OF HEALTH FOR ADDITIONAL DETAILS INCLUDING THE CHNA FINDINGS, GOALS, AND RELEVANT LOCALLY AVAILABLE RESOURCES PLEASE SEE WASHINGTON ADVENTIST HOSPITAL'S IMPLEMENTAT ION STRATEGY WHICH CAN BE FOUND HERE HTTP //WWWADVENTISTHEALTHCARE COM/APP/FILES/PUBLIC/3338/2013-CHNA-WAH- IMPLEMENTATIONSTRATEGY PDF

89 Form 990 Part V Section C Supplemental Information for Part V, Section B. Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1], 3, 4, 5d, 6i, 7, 10, 11, 121, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facilit y in a facilit y reporting g rou p, desi g nated b y "Facility A, " "Facility 13, " etc. Form and Line Reference HACKETTSTOWN COMMUNITY HOSPITAL Explanation PART V, SECTION B, LINE 11 OBJECTIVE INCREASE THE NUMBERS OF ADULTS WITH DIABETES RECEIVING EDUCATION FOR SELF-MANAGEMENT FROM 43 6% TO 48% ACTION STEPS A DEVELOP DIABETES MANAGEMENT BROCHURE TO BE DISTRIBUTED TO THE FOLLOWING 1 ALL PRIMARY CARE PHYSICIAN OFFICES TO BE GIVEN TO ALL NEWLY DIAGNOSED ADULTS WITH TYPE 2 DIABETES 2 TO THOSE ADULTS WHO NEVER HAD DIABETES EDUCATION 3 IN-PATIENTS WITH TYPE 2 DIABETES REQUIRING ADDITIONAL SUPPORT TO MANAGE THEIR ILLNESS PREVENTING READMISSION B CONTINUE TO PROMOTE DIABETES MANAGEMENT CLASSES, DIABETES SUPPORT GROUPS AND INDIVIDUAL COUNSELING IN QUARTERLY NEWSLETTER "HEALTHIER LIVING "C INTRODUCE "KNOWYOUR DIABETES ABC'S (A1C'S, BLOOD PRESSURE AND CHOLESTEROL)" EDUCATION CAMPAIGN THROUGH HEALTHIER LIVING NEWSLETTER D HRMC WILL REFER UNINSURED ND UNDERINSURED ADULTS, NOT UNDER THE CARE OFA PRIMARY PHYSICIAN,TO THE ZUFALL FEDERALLY QUALIFIED HEALTH CENTER, ZUFALL WILL REFER THEIR PATIENTS IN NEED OF ADDITIONAL DIABETES EDUCATION OBJECTIVE PROVIDE PRE-DIABETES EDUCATION QUARTERLY ACTION STEPS THE CENTER FOR HEALTHIER LIVING AND EDUCATION DEPARTMENT WILL PROVIDE PRE-DIABETES EDUCATION PROGRAMS FOR ALL INDIVIDUALS WHO HAVE BEEN IDENTIFIED HAVING BLOOD SUGAR LEVELS IN THE PRE- DIABETES RANGE FOLLOWING COMMUNITY DIABETES SCREENINGS A COMMUNITY SEMINAR ON THE TOPIC OF METABOLIC SYNDROME WILL BE HELD AT THE CENTER FOR HEALTHIER LIVING DEVELOP A MARKETING PLAN TO EDUCATE STAFF AND VISITORS ON THE DIABETES RESOURCES AVAILABLE AT HRMC OBJECTIVE REDUCE 30 DAY RE-ADMISSION RATE FOR PATIENTS WITH CONGESTIVE HEALTH FAILURE (CHF) BY 5% ACTION STEPS CHF TASK FORCE TO DEVELOP A PROGRAM IMPLEMENTED BY A TEAM TO IMPROVE THEIR PATIENTS' CTIVITY LEVEL AND DIETARY CHOICES TO PREVENT READMISSION AND IMPROVE THEIR QUALITY OF LIFE TASK FORCE WILL DEVELOP CLINICAL PROTOCOLS FOR ALL CHF PATIENTS WHO ARE ADMITTED WITH PRIMARY AND/OR SECONDARY DIAGNOSIS OF CHF DEVELOP A CARE COORDINATION SYSTEM TO MONITOR AND COMMUNICATE WITH EACH PATIENT FOLLOWING DISCHARGE PATIENTS WITHOUT A HOME SCALE WILL BE DISCHARGED WITH AN EASY TO READ SCALE DEVELOP NEW PATIENT SERVICE WITH AN AREA PHARMACY TO DELIVER PRESCRIPTIONS TO PATIENTS PRIOR TO DISCHARGE AND PROVIDE ANOTHER OPPORTUNITY FOR PATIENTS TO RECEIVE EDUCATION ON THEIR NEW MEDICATION NOT BEING ADDRESSED AND WHY 1 TRANSPORTATION BARRIERS,2 ELDER ABUSE,3 LIMITED SUBSTANCE ABUSE TREATMENT AND RESOURCES (ALSO NOTING COMORBIDITY WITH MENTAL HEALTH ISSUES),4 PROMINENT MENTAL HEALTH ISSUES (NOTING CONNECTION BETWEEN PHYSICAL AND MENTAL WELL-BEING,5 UNCOORDINATED CARE ACROSS PROVIDERS (FOR NON-CHRONIC CONDITIONS),NUMBERS 1-5 ARE NOT BEING ADDRESSED T THIS TIME DUE TO LACK OF RESOURCES AND/OR EXPERTISE

90 Form 990 Part V Section C Supplemental Information for Part V, Section B. Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1], 3, 4, 5d, 6i, 7, 10, 11, 121, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facilit y in a facilit y repo in g rou p, desi g nated b y "Facility A, " "Facility 13, " etc. Form and Line Reference DVENTIST REHABILITATION HOSPITAL OF MARYLAND Explanation PART V, SECTION B, LINE 11 BASED ON THE CHNA COMPLETED IN 2013, AN IMPLEMENTATION STRATEGY WAS ADOPTED FOCUSING ON CONCUSSION CARE ADVENTIST HEALTHCARE PHYSICAL HEALTH AND REHABILITATION (APHR) HAS IMPLEMENTED AN INITIATIVE TO BUILD A COMPREHENSIVE CONCUSSION SCREENING AND TREATMENT PROGRAM SERVING COMMUNITY MEMBERS AND STUDENT ATHLETES STRATEGIES FOR THIS INITIATIVE INCLUDE > INCREASING KNOWLEDGE AND AWARENESS OF CONCUSSION RISKS, CONCUSSION IDENTIFICATION, CARE, AND MANAGEMENT IN THE COMMUNITY AND THE MONTGOMERY COUNTY PUBLIC SCHOOL SYSTEM,> IMPLEMENTING IMPACTTM BASELINE ESTING FOR STUDENT ATHLETES IN 14 MONTGOMERY COUNTY HIGH SCHOOLS (WITH EACH STUDENT BASELINE TESTED EVERY 2 YEARS),> MAINTAINING AND MAKING AVAILABLE BASELINE TEST RESULTS TO STUDENTS, PARENTS, AND STUDENTS' HEALTH CARE PROVIDERS AT NO COST,> PROVIDING FOLLOW-UP TESTING AND ANALYSIS FOR STUDENTS S NEEDED AT A REASONABLE RATE,> PROVIDING RETESTS AND ANALYSES AT A REDUCED RATE OR FREE OF CHARGE FOR STUDENTS WITH ECONOMIC DIFFICULTIES,> SERVING AS A RESOURCE ON CONCUSSION EDUCATION FOR STUDENTS, PARENTS, AND COACHES,> RAINING AND PLACING FULL-TIME ATHLETIC TRAINERS IN 13 MONTGOMERY COUNTY HIGH SCHOOLS - TRAINERS ATTEND ALL 'HOME' ATHLETIC EVENTS AS WELL AS 'AWAY' VARSITY FOOTBALL GAMES, - TRAINERS PERFORM FUNCTIONS WITHIN THE SIX DOMAINS OF THLETIC TRAINERS AS ESTABLISHED BY THE NATIONAL ATHLETIC TRAINERS SSOCIATION PREVENTION, CLINICAL EVALUATION AND DIAGNOSIS, IMMEDIATE CARE, REATMENT, REHABILITATION, AND RECONDITIONING, ORGANIZATION AND DMINISTRATION, AND PROFESSIONAL RESPONSIBILITIES - IN ADDITION, TRAINERS SSIST IN IMPLEMENTING SCHOOL AND SYSTEM WIDE RESPONSIBILITIES RELATED TO THE HEALTH AND SAFETY OF STUDENT ATHLETES > PROVIDING AMERICAN HEART ASSOCIATION CPR/AED RECERTIFICATION FOR ATHLETIC STAFF AT 14 MONTGOMERY COUNTY HIGH SCHOOLSAREAS OF NEED NOT DIRECTLY ADDRESSED BY ADVENTIST HEALTHCARE PHYSICAL HEALTH AND REHABILITATION AND THE RATIONALE > ASTHMA APHR DOES NOT CURRENTLY DIRECTLY ADDRESS ASTHMA BECAUSE IT IS NOT A SPECIALTY AREA OFTHE HOSPITAL SUFFICIENT RESOURCES AND EXPERTISE ARE NOT AVAILABLE TO MEET THESE NEEDS ADDITIONAL RESOURCES ARE AVAILABLE IN THE COMMUNITY > INFLUENZA APHR DOES NOT DIRECTLY PROVIDE INFLUENZA SERVICES AS THEY FALL OUTSIDE THE SCOPE OF HE HOSPITAL AS A REHABILITATION CENTER INFLUENZA SERVICES ARE ALREADY PROVIDED BY THE ACUTE CARE HOSPITALS IN THE ADVENTIST HEALTHCARE SYSTEM, SGMC ND WAH, AS WELL AS BY SEVERAL OTHER ORGANIZATIONS IN APHR'S SERVICE AREA > HIV/AIDS APHR DOES NOT PROVIDE HIV/AIDS SERVICES AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A REHABILITATION CENTER HIV/AIDS SERVICES ARE ALREADY PROVIDED BY OTHER ENTITIES IN THE ADVENTIST HEALTHCARE NETWORK, AS WELL AS BY SEVERAL OTHER ORGANIZATIONS IN APHR'S SERVICE AREA > MATERNAL AND INFANT HEALTH APHR DOES NOT PROVIDE MATERNAL AND INFANT SERVICES AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A REHABILITATION CENTER A FULL SPECTRUM OF MATERNAL AND INFANT SERVICES IS ALREADY PROVIDED BY SGMC, AS WELL AS BY SEVERAL OTHER ORGANIZATIONS IN APHR'S SERVICE AREA > BEHAVIORAL HEALTH APHR DOES NOT PROVIDE BEHAVIORAL HEALTH SERVICES BECAUSE THESE SERVICES ARE LREADY PROVIDED BY A NEIGHBORING SPECIALTY CARE HOSPITAL WITHIN ITS HOSPITAL SYSTEM, ADVENTIST BEHAVIORAL HEALTH IN ADDITION TO ADVENTIST BEHAVIORAL HEALTH, THERE ARE MANY ORGANIZATIONS THAT PROVIDE BEHAVIORAL HEALTH SERVICES WITHIN THE APHR SERVICE AREA > SENIOR HEALTH APHR DOES NOT DIRECTLY PROVIDE SENIOR CARE COMMUNITY OUTREACH SERVICES AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A REHABILITATION CENTER MANY OLDER ADULTS AND SENIORS ARE SERVED BY VARIOUS PROGRAMS AT APHR, ALTHOUGH THESE NOT SPECIFICALLY/EXCLUSIVELY OFFERED TO SENIORS SENIOR HEALTH SERVICES ARE ALREADY PROVIDED BY OTHER ENTITIES IN THE ADVENTIST HEALTHCARE NETWORK, AS WELL AS BY SEVERAL OTHER ORGANIZATIONS IN APHR'S SERVICE AREA > SOCIAL DETERMINANTS OF HEALTH (FOOD CCESS, HOUSING QUALITY, EDUCATION, TRANSPORTATION) APHR DOES NOT DIRECTLY DDRESS MANY OFTHE SOCIAL DETERMINANTS OF HEALTH AS THEY FALL OUTSIDE THE SPECIALTY AREAS OF THE HOSPITAL AND APHR DOES NOT HAVE THE RESOURCES OR EXPERTISE TO MEET THOSE NEEDS INSTEAD APHR SUPPORTS AND PARTNERS WITH OTHER ORGANIZATIONS IN THE COMMUNITY THAT SPECIALIZE IN ADDRESSING NEEDS RELATED TO FOOD ACCESS, HOUSING QUALITY, EDUCATION, AND TRANSPORTATION FOR ADDITIONAL DETAILS INCLUDING THE CHNA FINDINGS, GOALS, AND RELEVANT LOCALLY AVAILABLE RESOURCES PLEASE SEE ADVENTIST REHABILITATION HOSPITAL OF MARYLAND'S IMPLEMENTATION STRATEGY WHICH CAN BE FOUND HERE HTTP //WWWADVENTISTHEALTHCARE COM/APP/FILES/PUBLIC/3446/2013-CHNA-ARHM- IMPLEMENTATIONSTRATEGY PDF

91 Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1], 3, 4, 5d, 6i, 7, 10, 11, 121, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facilit y in a acility re p ortin g g rou p, desi g nated b y "Facility A, " "Facility 13, " etc. Form and Line Reference Explanation BEHAVIORAL PART V, SECTION B, LINE 11 BASED ON THE CHNA COMPLETED IN 2013, AN IMPLEMENTATION STRATEG HEALTH&WELLNESS Y WAS ADOPTED FOCUSING ON CHEMICAL DEPENDENCE/SUBSTANCE ABUSE IN ADOLESCENTS AND SERVICES-ROCK ADULTS AD VENTIST HEALTHCARE BEHAVIORAL HEALTH AND WELLNESS SERVICES - ROCKVILLE (ABHW- R) HAS IMPLEM ENTED A PROGRAM TO IMPROVE CONTINUITY OF CARE FOR PATIENTS SEEKING TREATMENT FOR CHEMICAL DEPENDENCE AND SUBSTANCE ABUSE IN ADDITION ABHW-R IS WORKING TO IMPROVE CHEMICAL DEPENDEN CE AND SUBSTANCE ABUSE EDUCATION IN THE COMMUNITY, AMONG BOTH ADOLESCENT AND ADULT POPULAT IONS STRATEGIES FOR THIS INITIATIVE INCLUDE > OFFERING TRANSPORTATION ASSISTANCE FOR INDI VIDUALS RECEIVING TREATMENT VIA THE INTENSIVE OUTPATIENT PROGRAMS (BEGINNING IN 2015),> OF FERING CHILDCARE ASSISTANCE FOR INDIVIDUALS RECEIVING TREATMENT VIA THE INTENSIVE OUTPATIE NT PROGRAMS THROUGH PARTNERSHIPS WITH LOCAL CHILDCARE FACILITIES,> OFFERING 2 LEVELS OF OU TPATIENT CHEMICAL DEPENDENCE SERVICES FOR ADULTS AND ADOLESCENTS -INTENSIVE OUTPATIENT PR OGRAM 3 NIGHTS PER WEEK (9 HOURS), 1 HOUR EVERY 2 WEEKS FOR INDIVIDUAL THERAPY, -STRUCTUR ED OUTPATIENT PROGRAM 2 NIGHTS PER WEEK (6 HOURS),> BUILDING COMMUNITY RELATIONSHIPS IN 0 RDER TO IMPROVE REFERRAL PROCESSES AND CARE TRANSITIONS FOR ABHW-R PATIENTS NEEDING ADDITI ONAL TREATMENT SERVICES, > INCREASING KNOWLEDGE AND AWARENESS AROUND ALCOHOL DEPENDENCE AN D SUBSTANCE ABUSE IN THE COMMUNITY THROUGH EDUCATION SESSIONS,> PARTNERING WITH MEDSTAR GE ORGETOWN UNIVERSITY HOSPITALTO HOST A FREE SUBSTANCE ABUSE SYMPOSIUM,AREAS OF NEED NOT DI RECTLY ADDRESSED BY ADVENTIST HEALTHCARE BEHAVIORAL HEALTH AND WELLNESS SERVICES ROCKVILLE AND THE RATIONALE > CANCER ABHW ROCKVILLE DOES NOT PROVIDE DIRECT SERVICES AROUND CANCER AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A BEHAVIORAL HEALTH CENTER CANCER SERV ICES ARE ALREADY PROVIDED BY OTHER ENTITIES IN THE ADVENTIST HEALTHCARE NETWORK, AS WELL A S BY SEVERAL OTHER ORGANIZATIONS IN ABHW ROCKVILLE'S SERVICE AREA > HEART DISEASE & STROKE ABHW ROCKVILLE DOES NOT PROVIDE HEART DISEASE AND STROKE SERVICES AS THEY FALL OUTSIDE T HE SCOPE OF THE HOSPITAL AS A BEHAVIORAL HEALTH CENTER HEART DISEASE AND STROKE SERVICES ARE ALREADY PROVIDED BY OTHER ENTITIES IN THE ADVENTIST HEALTHCARE NETWORK, AS WELL AS BY SEVERAL OTHER ORGANIZATIONS IN ABHW ROCKVILLE'S SERVICE AREA > DIABETES ABHW ROCKVILLE DO ES NOT DIRECTLY PROVIDE DIABETES SERVICES AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL A S A BEHAVIORAL HEALTH CENTER DIABETES SERVICES ARE ALREADY PROVIDED BY OTHER ENTITIES IN THE ADVENTIST HEALTHCARE NETWORK, AS WELL AS BY SEVERAL OTHER ORGANIZATIONS IN ABHW ROCKVI LLE'S SERVICE AREA > OBESITY ABHW ROCKVILLE DOES NOT DIRECTLY PROVIDE OBESITY SERVICES AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A BEHAVIORAL HEALTH CENTER OBESITY SERVIC ES ARE ALREADY PROVIDED BY OTHER ENTITIES IN THE ADVENTIST HEALTHCARE NETWORK, AS WELL AS BY SEVERAL OTHER ORGANIZATIONS IN ABHW ROCKVILLE'S SERVICE AREA > ASTHMA ABHW ROCKVILLE DOES NOT DIRECTLY PROVIDE ASTHMA SERVICES AS THEY FALL OUTSIDE THE SCOPE OFTHE HOSPITAL AS A BEHAVIORAL HEALTH CENTER ASTHMA SERVICES ARE ALREADY PROVIDED BY OTHER ENTITIES IN THE ADVENTIST HEALTHCARE NETWORK, AS WELL AS BY SEVERAL OTHER ORGANIZATIONS IN ABHW ROCKVILLE S SERVICE AREA > INFLUENZA ABHW ROCKVILLE DOES NOT DIRECTLY PROVIDE INFLUENZA SERVICES A S THEY FALL OUTSIDE THE SCOPE OFTHE HOSPITAL AS A BEHAVIORAL HEALTH CENTER INFLUENZA SER VICES ARE ALREADY PROVIDED BY OTHER ENTITIES IN THE ADVENTIST HEALTHCARE NETWORK, AS WELL AS BY SEVERAL OTHER ORGANIZATIONS IN ABHW ROCKVILLE'S SERVICE AREA > HIV/AIDS ABHW ROCKVI LLE DOES NOT PROVIDE HIV/AIDS SERVICES AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A BEHAVIORAL HEALTH CENTER HIV/AIDS SERVICES ARE ALREADY PROVIDED BY OTHER ENTITIES IN THE ADVENTIST HEALTHCARE NETWORK, AS WELL AS BY SEVERAL OTHER ORGANIZATIONS IN ABHW ROCKVILLE 'S SERVICE AREA > MATERNAL AND INFANT HEALTH ABHW ROCKVILLE DOES NOT PROVIDE MATERNAL AND INFANT SERVICES AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A BEHAVIORAL HEALTH CEN TER A FULL SPECTRUM OF MATERNAL AND INFANT SERVICES IS ALREADY PROVIDED BY SGMC, AS WELL AS BY SEVERAL OTHER ORGANIZATIONS IN ABHW ROCKVILLE'S SERVICE AREA > SENIOR HEALTH ABHW R OCKVILLE DOES NOT DIRECTLY PROVIDE SENIOR CARE COMMUNITY OUTREACH SERVICES AS THEY FALL OU TSIDE THE SCOPE OFTHE HOSPITAL AS A BEHAVIORAL HEALTH CENTER SENIOR HEALTH SERVICES ARE ALREADY PROVIDED BY OTHER ENTITIES IN THE ADVENTIST HEALTHCARE NETWORK, AS WELL AS BY SEVE RAL OTHER ORGANIZATIONS IN ABHW ROCKVILLE'S SERVICE AREA > SOCIAL DETERMINANTS OF HEALTH ( FOOD ACCESS, HOUSING QUALITY, EDUCATION, TRANSPORTATION) ABHW ROCKVILLE DOES NOT DIRECTLY ADDRESS MANY OF THE SOCIAL DETERMINANTS OF HEALTH AS THEY FALL OUTSIDE THE SPECIALTY AREAS OFTHE HOSPITAL ABHW ROCKVILLE DOES NOT HAVE THE RESOURCES OR EXPERTISE TO MEET THOSE N EEDS INSTEAD ABHW ROCKVILLE SUPPORTS AND PARTNERS WITH OTHER ORGANIZATIONS IN THE COMMUNI TY THAT SPECIALIZE IN ADDRESSING NEEDS RELATED TO

92 Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1], 3, 4, 5d, 6i, 7, 10, 11, 121, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facilit y in a facilit y re p ortin g g rou p, desi g nated b y "Facility A, " "Facility 13, " etc. Form and Line Reference Explanation BEHAVIORAL HEALTH&WELLNESS SERVICES-ROCK FOOD ACCESS, HOUSING QUALITY, EDUCATION, AND TRANSPORTATION FOR ADDITIONAL DETAILS INCLUDI NG THE CHNA FINDINGS, GOALS, AND RELEVANT LOCALLY AVAILABLE RESOURCES PLEASE SEE ADVENTIST BEHAVIORAL HEALTH ROCKVILLE'S IMPLEMENTATION STRATEGY WHICH CAN BE FOUND HERE HTTP //WWW ADVENTISTHEALTHCARE COM/APP/FILES/PUBLIC/3447/2013-CHNA-ABH- RV- IMPLEMENTATIONSTRATEGY PD F

93 Form 990 Part V Section C Supplemental Information for Part V, Section B. Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1], 3, 4, 5d, 6i, 7, 10, 11, 121, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facilit y in a facilit y repo in g rou p, desi g nated b y "Facility A, " "Facility 13, " etc. Form and Line Reference BEHAVIORAL HEALTH&WELLNESS SVS-E SHORE Explanation PART V, SECTION B, LINE 11 BASED ON THE CHNA COMPLETED IN 2013, AN IMPLEMENTATION STRATEGY WAS ADOPTED FOCUSING ON CHEMICAL DEPENDENCE/SUBSTANCE ABUSE AMONG ADOLESCENTS ADVENTIST HEALTHCARE BEHAVIORAL HEALTH & WELLNESS SERVICES, EASTERN SHORE (ABHW-ES) IMPLEMENTED AN INITIATIVE TO INCREASE CHEMICAL DEPENDENCE/SUBSTANCE ABUSE AWARENESS AND EDUCATION FOR COMMUNITY MEMBERS IN THEIR SERVICE AREA STRATEGIES INCLUDE > DAPTING THEIR FREE ACTIVE PARENTING WORKSHOPS TO INCLUDE CHEMICAL DEPENDENCE AND SUBSTANCE ABUSE EDUCATION, INCLUDING RECOGNIZING WARNING SIGNS AND SYMPTOMS FOR PARENTS,> OFFERING TRANSPORTATION SERVICES FOR ACTIVE PARENTING WORKSHOPS,> EDUCATING PARENTS, COMMUNITY MEMBERS, AND MEDICAL PROFESSIONALS ABOUT LOCALLY AVAILABLE PREVENTION AND TREATMENT RESOURCES,> PARTNERING WITH LOCAL ENTITIES SUCH AS SCHOOLS, FAITH-BASED ORGANIZATIONS, ND ADVOCACY GROUPS TO EXPAND COMMUNITY OUTREACH AND EDUCATION AREAS OF NEED NOT DIRECTLY ADDRESSED BY ADVENTIST HEALTHCARE BEHAVIORAL HEALTH AND WELLNESS SERVICES EASTERN SHORE AND THE RATIONALE > CANCER ABHW EASTERN SHORE DOES NOT PROVIDE DIRECT SERVICES AROUND CANCER AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A BEHAVIORAL HEALTH CENTER CANCER SERVICES ARE LREADY PROVIDED BY OTHER LOCAL HOSPITAL, GOVERNMENT AND COMMUNITY ENTITIES IN THE ABHW EASTERN SHORE SERVICE AREA > HEART DISEASE & STROKE ABHW EASTERN SHORE DOES NOT PROVIDE DIRECT SERVICES AROUND HEART DISEASE AND STROKE AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A BEHAVIORAL HEALTH CENTER HEART DISEASE AND STROKE SERVICES ARE ALREADY PROVIDED BY OTHER LOCAL HOSPITAL, GOVERNMENT AND COMMUNITY ENTITIES IN THE ABHW EASTERN SHORE SERVICE AREA > DIABETES ABHW EASTERN SHORE DOES NOT PROVIDE DIRECT SERVICES ROUND DIABETES AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A BEHAVIORAL HEALTH CENTER SERVICES FOR THOSE AFFECTED BY DIABETES ARE ALREADY PROVIDED BY OTHER LOCAL HOSPITAL, GOVERNMENT AND COMMUNITY ENTITIES IN THE ABHW EASTERN SHORE SERVICE AREA > OBESITY ABHW EASTERN SHORE DOES NOT PROVIDE DIRECT SERVICES AROUND OBESITY AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A BEHAVIORAL HEALTH CENTER SERVICES FOR THOSE WHO ARE OVERWEIGHT OR OBESE ARE LREADY PROVIDED BY OTHER LOCAL HOSPITAL, GOVERNMENT AND COMMUNITY ENTITIES IN THE ABHW EASTERN SHORE SERVICE AREA > ASTHMA ABHW EASTERN SHORE DOES NOT CURRENTLY DIRECTLY ADDRESS ASTHMA BECAUSE IT IS NOT A SPECIALTY AREA OF THE HOSPITAL SUFFICIENT RESOURCES AND EXPERTISE ARE NOT AVAILABLE TO MEET THESE NEEDS ADDITIONAL RESOURCES ARE AVAILABLE IN THE COMMUNITY > INFLUENZA ABHW EASTERN SHORE DOES NOT PROVIDE INFLUENZA SERVICES AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A BEHAVIORAL HEALTH CENTER INFLUENZA SERVICES ARE LREADY AVAILABLE THROUGH MULTIPLE PROVIDERS IN THE ABHW EASTERN SHORE SERVICE AREA > HIV/AIDS ABHW EASTERN SHORE DOES NOT PROVIDE DIRECT SERVICES ROUND HIV/AIDS AS THEY FALL OUTSIDE THE SCOPE OFTHE HOSPITAL AS A BEHAVIORAL HEALTH CENTER SERVICES AROUND HIV/AIDS ARE ALREADY PROVIDED BY OTHER LOCAL HOSPITAL, GOVERNMENT AND COMMUNITY ENTITIES IN THE ABHW EASTERN SHORE SERVICE AREA > POPULATION HEALTH (MATERNAL AND INFANT HEALTH, SENIOR HEALTH) BHW EASTERN SHORE DOES NOT DIRECTLY PROVIDE MATERNAL AND INFANT SERVICES OR SENIOR HEALTH SERVICES AS THEY FALL OUTSIDE THE SCOPE OF THE HOSPITAL AS A BEHAVIORAL HEALTH CENTER SEVERAL RESOURCES FOR MATERNAL, INFANT AND SENIOR HEALTH ARE AVAILABLE THROUGH COMMUNITY AND GOVERNMENT ORGANIZATIONS IN THE BHW EASTERN SHORE SERVICE AREA > SOCIAL DETERMINANTS OF HEALTH (FOOD ACCESS, HOUSING QUALITY, EDUCATION, TRANSPORTATION) ABHW EASTERN SHORE DOES NOT DIRECTLY ADDRESS MANY OFTHE SOCIAL DETERMINANTS OF HEALTH AS THEY FALL OUTSIDE THE SPECIALTY AREAS OFTHE HOSPITAL AND SUFFICIENT RESOURCES AND EXPERTISE ARE NOT AVAILABLE INSTEAD ABHW EASTERN SHORE SUPPORTS AND PARTNERS WITH OTHER ORGANIZATIONS IN THE COMMUNITY THAT SPECIALIZE IN ADDRESSING NEEDS RELATED TO FOOD ACCESS, HOUSING QUALITY, EDUCATION AND RANSPORTATION FOR ADDITIONAL DETAILS INCLUDING THE CHNA FINDINGS, GOALS, AND RELEVANT LOCALLY AVAILABLE RESOURCES PLEASE SEE ADVENTIST BEHAVIORAL HEALTH EASTERN SHORE'S IMPLEMENTATION STRATEGY WHICH CAN BE FOUND HERE HTTP //WWWADVENTISTHEALTHCARE COM/APP/FILES/PUBLIC/3448/2013-CHNA-ABH-ES- IMPLEMENTATIONSTRATEGY PDF

94 Form 990 Part V Section C Supplemental Information for Part V, Section B. Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1], 3, 4, 5d, 6i, 7, 10, 11, 121, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facilit y in a facilit y re p o in g rou p, desi g nated b y "Facility A, " "Facility B, " etc. Form and Line Reference SHADY GROVE MEDICAL CENTER Explanation PART V, SECTION B, LINE 161 THE POLICY IS ALSO STRATEGICALLY POSTED AT OUR PATIENTS FINANCIAL SERVICES OFFICE PART V, SECTION B, LINE 16A HTTP //WWWADVENTISTHEALTHCARE COM/LOCATIONS/SHADY-GROVE-MEDICAL- CENTER/INFO/PATIENTS/BILLING/CHARITY-CARE/# VZIMJF9VHHWPART V, SECTION B, LINE 16B SAME URL AS LISTED ON LINE 16APART V, SECTION B, LINE 16C SAME URL AS LISTED ON LINE 16A ANDHTTP //WWWADVENTISTHEALTHCARE COM/INFO/#BILL- PAY, VZIZYF9VHHW

95 Form 990 Part V Section C Supplemental Information for Part V, Section B. Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1], 3, 4, 5d, 6i, 7, 10, 11, 121, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facilit y in a facilit y re p o in g rou p, desi g nated b y "Facility A, " "Facility B, " etc. Form and Line Reference Explanation WASHINGTON ADVENTIST PART V, SECTION B, LINE 161 THE POLICY IS ALSO STRATEGICALLY POSTED AT OUR HOSPITAL PATIENTS FINANCIAL SERVICES OFFICE PART V, SECTION B, LINE 16A HTTP //WWWADVENTISTHEALTHCARE COM/LOCATIONS/WASHINGTON-ADVENTIST- HOSPITAL/INFO/PATIENTS/BILLING/CHARITY-CARE/# VZ1L_19VHHWPART V, SECTION B, LINE 16B SAME URL AS LISTED ON LINE 16APART V, SECTION B, LINE 16C SAME URL AS LISTED ON LINE 16A ANDHTTP //WWWADVENTISTHEALTHCARE COM/INFO/#BILL- PAY, VZIZYF9VHHW

96 Form 990 Part V Section C Supplemental Information for Part V, Section B. Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1], 3, 4, 5d, 6i, 7, 10, 11, 121, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facilit y in a facilit y re p ortin g g rou p, desi g nated b y " Facilit y A, " "Facility 13, " etc. Form and Line Reference Explanation DVENTIST PART V, SECTION B, LINE 161 THE POLICY IS ALSO STRATEGICALLY POSTED AT OUR REHABILITATION PATIENTS FINANCIAL SERVICES OFFICE PART V, SECTION B, LINE 16A HOSPITAL OF HTTP //WWWADVENTISTHEALTHCARE COM/LOCATIONS/WASHINGTON-ADVENTIST- MARYLAND HOSPITAL/INFO/PATIENTS/BILLING/CHARITY- CARE/#VZ1L_19VHHWHTTP //WWWADVENTISTHEALTHCARE COM/LOCATIONS/SHADY- GROVE-MEDICAL- CENTER/INFO/PATIENTS/BILLING/CHARITY-CARE/# VZIMJF9VHHWPART V, SECTION B, LINE 16B SAME URLS AS LISTED ON LINE 16APART V, SECTION B, LINE 16C SAME URLS AS LISTED ON LINE 16A NDHTTP //WWWADVENTISTHEALTHCARE COM/LOCATIONS/PHYSICAL-HEALTH- REHABILITATION/INFO/PATIENTS/BILLING/# VZIUHL9VHHWHTTP //WWWADVENTISTHEALTHCARE COM/INFO/#BILL -PAY, VZIZYF9VHHW

97 Form 990 Part V Section C Supplemental Information for Part V, Section B. Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1], 3, 4, 5d, 6i, 7, 10, 11, 121, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facilit y in a facilit y re p o tin g rou p, desi g nated b y " Facilit y A, " "Facility 13, " etc. Form and Line Reference Explanation BEHAVIORAL HEALTH&WELLNESS PART V, SECTION B, LINE 161 THE POLICY IS ALSO STRATEGICALLY POSTED AT OUR SERVICES-ROCK PATIENTS FINANCIAL SERVICES OFFICE PART V, SECTION B, LINE 16A HTTP //WWWADVENTISTHEALTHCARE COM/LOCATIONS/WASHINGTON-ADVENTIST- HOSPITAL/INFO/PATIENTS/BILLING/CHARITY- CARE/#VZ1L_19VHHWHTTP //WWWADVENTISTHEALTHCARE COM/LOCATIONS/SHADY- GROVE-MEDICAL- CENTER/INFO/PATIENTS/BILLING/CHARITY-CARE/#VZIMJF9VHHWPART V, SECTION B, LINE 16B SAME URLS AS LISTED ON LINE 16APART V, SECTION B, LINE 16C SAME URLS AS LISTED ON LINE 16A NDHTTP //WWWADVENTISTHEALTHCARE COM/INFO/#BILL-PAY,VZIZYF9VHHW

98 Form 990 Part V Section C Supplemental Information for Part V, Section B. Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1], 3, 4, 5d, 6i, 7, 10, 11, 121, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facilit y in a facilit y re p o tin g rou p, desi g nated b y "Facility A, " "Facility 13, " etc. Form and Line Reference Explanation BEHAVIORAL HEALTH&WELLNESS PART V, SECTION B, LINE 161 THE POLICY IS ALSO STRATEGICALLY POSTED AT OUR SVS-E SHORE PATIENTS FINANCIAL SERVICES OFFICE PART V, SECTION B, LINE 16A HTTP //WWWADVENTISTHEALTHCARE COM/LOCATIONS/WASHINGTON-ADVENTIST- HOSPITAL/INFO/PATIENTS/BILLING/CHARITY- CARE/#VZ1L_19VHHWHTTP //WWWADVENTISTHEALTHCARE COM/LOCATIONS/SHADY- GROVE-MEDICAL- CENTER/INFO/PATIENTS/BILLING/CHARITY-CARE/#VZIMJF9VHHWPART V, SECTION B, LINE 16B SAME URLS AS LISTED ON LINE 16APART V, SECTION B, LINE 16C SAME URLS AS LISTED ON LINE 16A NDHTTP //WWWADVENTISTHEALTHCARE COM/INFO/#BILL-PAY,VZIZYF9VHHW

99 Form 990 Part V Section C Supplemental Information for Part V, Section B. Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1], 3, 4, 5d, 6i, 7, 10, 11, 121, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility re p ortin g g rou p, desi g nated b y "Facility A, " "Facility 13, " etc. Form and Line Reference SHADY GROVE MEDICAL CENTER Explanation PART V, SECTION B, LINE 22D BECAUSE MARYLAND IS AN ALL-PAYOR RATE REGULATED STATE, ALL INDIVIDUALS, REGARDLESS OF THEIR PAYER TYPE, ARE CHARGED THE RATES ESTABLISHED BY THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) HE HSCRC RATE SYSTEM IS USED TO DETERMINE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED

100 Form 990 Part V Section C Supplemental Information for Part V, Section B. Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1], 3, 4, 5d, 6i, 7, 10, 11, 121, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility re p ortin g g rou p, desi g nated b y "Facility A, " "Facility 13, " etc. Form and Line Reference Explanation WASHINGTON ADVENTIST PART V, SECTION B, LINE 22D BECAUSE MARYLAND IS AN ALL-PAYOR RATE REGULATED HOSPITAL STATE, ALL INDIVIDUALS, REGARDLESS OF THEIR PAYER TYPE, ARE CHARGED THE RATES ESTABLISHED BY THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) HE HSCRC RATE SYSTEM IS USED TO DETERMINE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED

101 Form 990 Part V Section C Supplemental Information for Part V, Section B. Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1], 3, 4, 5d, 6i, 7, 10, 11, 121, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility re p ort n g rou p, desi g nated b y "Facility A, " "Facility 13, " etc. Form and Line Reference DVENTIST REHABILITATION HOSPITAL OF MARYLAND Explanation PART V, SECTION B, LINE 22D BECAUSE MARYLAND IS AN ALL-PAYOR RATE REGULATED STATE, ALL INDIVIDUALS, REGARDLESS OF THEIR PAYER TYPE, ARE CHARGED THE RATES ESTABLISHED BY THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) HE HSCRC RATE SYSTEM IS USED TO DETERMINE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED

102 Form 990 Part V Section C Supplemental Information for Part V, Section B. Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1], 3, 4, 5d, 6i, 7, 10, 11, 121, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility re p ort n g rou p, desi g nated b y "Facility A, " "Facility 13, " etc. Form and Line Reference BEHAVIORAL HEALTH&WELLNESS SERVICES-ROCK Explanation PART V, SECTION B, LINE 22D BECAUSE MARYLAND IS AN ALL-PAYOR RATE REGULATED STATE, ALL INDIVIDUALS, REGARDLESS OF THEIR PAYER TYPE, ARE CHARGED THE RATES ESTABLISHED BY THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) HE HSCRC RATE SYSTEM IS USED TO DETERMINE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED

103 Form 990 Part V Section C Supplemental Information for Part V, Section B. Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1], 3, 4, 5d, 6i, 7, 10, 11, 121, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility re p ort n g rou p, desi g nated b y "Facility A, " " Facility 13, " etc. Form and Line Reference BEHAVIORAL HEALTH&WELLNESS SVS-E SHORE Explanation PART V, SECTION B, LINE 22D BECAUSE MARYLAND IS AN ALL-PAYOR RATE REGULATED STATE, ALL INDIVIDUALS, REGARDLESS OF THEIR PAYER TYPE, ARE CHARGED THE RATES ESTABLISHED BY THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) HE HSCRC RATE SYSTEM IS USED TO DETERMINE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED

104 Form 990 Part V Section C Supplemental Information for Part V, Section B. Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1], 3, 4, 5d, 6i, 7, 10, 11, 121, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility reportin4 Qroup, desi4nated by "Facility A," "Facility B," etc. I Form and Line Reference I Explanation (PART V, SECTION B, LINE 16 IFINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY I

105 Form 990 Part V Section C Supplemental Information for Part V, Section B. Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1], 3, 4, 5d, 6i, 7, 10, 11, 121, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility reporting g rou p, desi g nated b y "Facility A, " "Facility B, " etc. Form and Line Reference SHADY GROVE MEDICAL CENTER PART V, SECTION B, LINE 16A WEBSITE SEE URL ON SECTION C Explanation

106 Form 990 Part V Section C Supplemental Information for Part V, Section B. Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1], 3, 4, 5d, 6i, 7, 10, 11, 121, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility reporting g rou p, desi g nated b y "Facility A, " "Facility B, " etc. Form and Line Reference SHADY GROVE MEDICAL CENTER PART V, SECTION B, LINE 16B WEBSITE SEE URL ON SECTION C Explanation

107 Form 990 Part V Section C Supplemental Information for Part V, Section B. Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1], 3, 4, 5d, 6i, 7, 10, 11, 121, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility reporting g rou p, desi g nated b y "Facility A, " "Facility B, " etc. Form and Line Reference SHADY GROVE MEDICAL CENTER PART V, SECTION B, LINE 16C WEBSITE SEE URL ON SECTION C Explanation

108 Form 990 Part V Section C Supplemental Information for Part V, Section B. Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1], 3, 4, 5d, 6i, 7, 10, 11, 121, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility reporting g rou p, desi g nated b y "Facility A, " "Facility B, " etc. Form and Line Reference WASHINGTON ADVENTIST HOSPITAL PART V, SECTION B, LINE 16A WEBSITE SEE URL ON SECTION C Explanation

109 Form 990 Part V Section C Supplemental Information for Part V, Section B. Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1], 3, 4, 5d, 6i, 7, 10, 11, 121, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility reporting g rou p, desi g nated b y "Facility A, " "Facility B, " etc. Form and Line Reference WASHINGTON ADVENTIST HOSPITAL PART V, SECTION B, LINE 16B WEBSITE SEE URL ON SECTION C Explanation

110 Form 990 Part V Section C Supplemental Information for Part V, Section B. Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1], 3, 4, 5d, 6i, 7, 10, 11, 121, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility reporting g rou p, desi g nated b y "Facility A, " "Facility B, " etc. Form and Line Reference WASHINGTON ADVENTIST HOSPITAL PART V, SECTION B, LINE 16C WEBSITE SEE URL ON SECTION C Explanation

111 Form 990 Part V Section C Supplemental Information for Part V, Section B. Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1], 3, 4, 5d, 6i, 7, 10, 11, 121, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility re p ort n g rou p, desi g nated b y "Facility A, " "Facility 13, " etc. Form and Line Reference DVENTIST REHABILITATION HOSPITAL OF MAR PART V, SECTION B, LINE 16A WEBSITE SEE URLS ON SECTION C Explanation

112 Form 990 Part V Section C Supplemental Information for Part V, Section B. Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1], 3, 4, 5d, 6i, 7, 10, 11, 121, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility re p ort n g rou p, desi g nated b y "Facility A, " "Facility 13, " etc. Form and Line Reference DVENTIST REHABILITATION HOSPITAL OF MAR PART V, SECTION B, LINE 16B WEBSITE SEE URLS ON SECTION C Explanation

113 Form 990 Part V Section C Supplemental Information for Part V, Section B. Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1], 3, 4, 5d, 6i, 7, 10, 11, 121, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility re p ort n g rou p, desi g nated b y "Facility A, " "Facility 13, " etc. Form and Line Reference DVENTIST REHABILITATION HOSPITAL OF MAR PART V, SECTION B, LINE 16C WEBSITE SEE URLS ON SECTION C Explanation

114 Form 990 Part V Section C Supplemental Information for Part V, Section B. Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1], 3, 4, 5d, 6i, 7, 10, 11, 121, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility re p ort n g rou p, desi g nated b y "Facility A, " "Facility 13, " etc. Form and Line Reference BEHAVIORAL HEALTH&WELLNESS SERVICES-ROCK PART V, SECTION B, LINE 16A WEBSITE SEE URLS ON SECTION C Explanation

115 Form 990 Part V Section C Supplemental Information for Part V, Section B. Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1], 3, 4, 5d, 6i, 7, 10, 11, 121, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility report n g rou p, desi g nated b y "Facility A, " "Facility 13, " etc. Form and Line Reference BEHAVIORAL HEALTH&WELLNESS SERVICES-ROCK PART V, SECTION B, LINE 16B WEBSITE SEE URLS ON SECTION C Explanation

116 Form 990 Part V Section C Supplemental Information for Part V, Section B. Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1], 3, 4, 5d, 6i, 7, 10, 11, 121, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility re p ort n g rou p, desi g nated b y "Facility A, " "Facility 13, " etc. Form and Line Reference BEHAVIORAL HEALTH&WELLNESS SERVICES-ROCK PART V, SECTION B, LINE 16C WEBSITE SEE URLS ON SECTION C Explanation

117 Form 990 Part V Section C Supplemental Information for Part V, Section B. Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1], 3, 4, 5d, 6i, 7, 10, 11, 121, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility re p ort n g rou p, desi g nated b y "Facility A, " "Facility 13, " etc. Form and Line Reference BEHAVIORAL HEALTH&WELLNESS SVS-E SHORE PART V, SECTION B, LINE 16A WEBSITE SEE URLS ON SECTION C Explanation

118 Form 990 Part V Section C Supplemental Information for Part V, Section B. Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1], 3, 4, 5d, 6i, 7, 10, 11, 121, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility report n g rou p, desi g nated b y "Facility A, " "Facility 13, " etc. Form and Line Reference BEHAVIORAL HEALTH&WELLNESS SVS-E SHORE PART V, SECTION B, LINE 16B WEBSITE SEE URLS ON SECTION C Explanation

119 Form 990 Part V Section C Supplemental Information for Part V, Section B. Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1], 3, 4, 5d, 6i, 7, 10, 11, 121, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility re p ort n g rou p, desi g nated b y "Facility A, " "Facility 13, " etc. Form and Line Reference BEHAVIORAL HEALTH&WELLNESS SVS-E SHORE PART V, SECTION B, LINE 16C WEBSITE SEE URLS ON SECTION C Explanation

120 l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: Schedule I OMB No (Form 990 ) Grants and Other Assistance to Organizations, Governments and Individuals in the United States 2014 Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22. Department of the Treasury lik, Attach to Form 990. Internal Revenue Service Information about Schedule I (Form 990) and its instructions is at www. irs.gov /form990. Name of the organization Employer identification number ADVENTIST HEALTHCARE INC jlj^l General Information on Grants and Assistance 1 Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award the grants or assistance? F Yes 1 No 2 Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" to Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed. (a) Name and address of (b) EIN (c) IRC section (d) Amount of cash (e) Amount of non- (f) Method of (g) Description of (h) Purpose of grant organization if applicable grant cash valuation non-cash assistance or assistance or government assistance (book, FMV, appraisal, other ) See Additional Data Table 2 Enter total number of section 501(c)(3) and government organizations listed in the line 1 table lik Enter total number of other organizations listed in the line 1 table.. 5 For Paperwork Reduction Act Noticee see the Instructions for Form 990. Cat No 50055P Schedule I (Form 990) 2014

121 Schedule I (Form 990) 2014 Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" to Form 990, Part IV, line 22. Part III can be duplicated if additional space is needed. Page 2 (a)type of grant or assistance (b)n umber of recipients (c)amount of cash grant (d)amount of non-cash assistance (e)method of valuation (book, FMV, appraisal, other) (f)description of non-cash assistance Return Reference Su pp lemental Information. Provide the information re q uired in Part I, line 2, Part III, column ( b ), and an y other additional information. Explanation PART I, LINE 2 THE ADVENTIST HEALTHCARE COMMUNITY PARTNERSHIP FUND PROGRAM OPERATES IN SUPPORT OF OUR ORGANIZATION'S MISSION WE DEMONSTRATE GOD'S CARE BY IMPROVING THE HEALTH OF PEOPLE AND COMMUNITIES THROUGH A MINISTRY OF PHYSICAL, MENTAL AND SPIRITUAL HEALING " THE ADVENTIST HEALTHCARE COMMUNITY PARTNERSHIP FUND SEEKS TO SUPPORT AND PARTNER WITH COMMUNITY-BASED ORGANIZATIONS TO IMPROVE BOTH OVERALL COMMUNITY HEALTH AND THE HEALTH CARE SYSTEM THE COMMUNITY PARTNERSHIP FUND WILL CHANNEL ITS INVESTMENTS INTO AREAS OF FOCUS THAT WILL IMPROVE COMMUNITY HEALTH THESE INVESTMENTS INCLUDE, BUT ARE NOT LIMITED TO WORKING TO INCREASE ACCESS FOR THE UNDERSERVED, DISSEMINATING CARE IMPROVEMENTS, ADDRESSING SOCIAL DETERMINANTS OF HEALTH, AND INFLUENCING PUBLIC POLICY AREAS OF FOCUS - PROJECTS THAT WILL IMPROVE CULTURALLY COMPETENT CARE AND LINGUISTIC SERVICES, HEALTH DISPARITIES RESEARCH PROJECTS, AND EDUCATIONAL CONFERENCES THAT WILL ADDRESS THE NEEDS OF VULNERABLE POPULATIONS, -PROGRAMS THAT PROMOTE HEALTH AND WELLNESS IN THE AREAS OF CANCER, CARDIOVASCULAR SERVICES, AND MATERNAL AND CHILD HEALTH, -PROJECTS THAT WILL RESULT IN THE EXPANSION OF HEALTH SERVICES PARTICULARLY IN SERVING THE UNDERSERVED AND UNINSURED IN THE AREA, - INITIATIVES THAT FOSTER COLLABORATIONS, PROMOTE HEALTHCARE CAREERS, AND POLICY ADVOCACY, -SEVENTH DAY ADVENTIST PARTNERSHIPS Schedule I (Form 990) 2014

122 Additional Data Software ID: Software Version: EIN: Name : ADVENTIST HEALTHCARE INC Form 990,Schedule I, (a) Name and address of organization or government Part II, Grants and Other Assistance to Domestic Organizations and Domestic Governments. ( b) EIN (c ) IRC Code section if applicable ( d) Amount of cash grant (e) Amount of noncash assistance (f) Method of valuation (book, FMV, appraisal, other) (g) Description of non-cash assistance (h) Purpose of grant or assistance ADVENTIST HEALTH (C)-(3) 13,000 $12,000 TO THE SYSTEM WEST2100 FOREVER FAITHFUL DOUGLAS BLVD INTERNATIONAL ROSEVILLE,CA PATHFINDER CAMPOREE THE PURPOSE OF THE INTERNATIONAL CAMPOREES IS TO CELEBRATE THE IMPORTANCE OF ND SPIRITUAL INFLUENCE OF PATHFINDER MINISTRY THESE EVENTS HAVE BECOME A LEADERSHIP AND SPIRITUAL RITE OF PASSAGE FOR YOUTH AND ADULTS HEY HAVE ALSO BECOME A GATHERING PLACE FOR WORLD LEADERS WHO UNDERSTAND HE IMPORTANCE OF HIS GENERATION ND THEIR VALUE O THE MISSION OF HE SEVENTH-DAY DVENTIST CHURCH, $1,000 DONATION FOR THE CARMEN LEADERSHIP INSTITUTE, WHICH HE INSTITUTE'S PURPOSE OF SUPPORTING FUTURE LEADERS IN HE HEALTH FIELD

123 Form 990.Schedule I. Part II. Grants and Other Assistance to Domestic Organizations and Domestic Governments. (a) Name and address of organization or government ( b) EIN (c ) IRC Code section if applicable ( d) Amount of cash grant (e) Amount of noncash assistance (f) Method of valuation (book, FMV, appraisal, other) (g) Description of non-cash assistance (h) Purpose of grant or assistance AMERICAN HEART (C)-(3) 5,000 GREATER ASSOCIATION4301 N WASHINGTON FAIRFAX DR SUITE 530 REGION HEART WALK ARLINGTON,VA MESSAGE BOARD SPONSOR- PROGRAMS THAT PROMOTE HEALTH ND WELLNESS IN HE AREAS OF CANCER, CARDIOVASCULAR SERVICES, AND MATERNAL AND CHILD HEALTH

124 Form 990.Schedule I. Part II. Grants and Other Assistance to Domestic Organizations and Domestic Governments. (a) Name and address of organization or government ( b) EIN (c ) IRC Code section if applicable ( d) Amount of cash grant (e) Amount of noncash assistance (f ) Method of valuation (book, FMV, appraisal, other) ( g) Description of non-cash assistance (h) Purpose of grant or assistance BIOHEALTH INNOVATION (C)-(3) 128,000 3RD YEAR INC22 BALTIMORE RD 100 CHARITABLE ROCKVILLE,MD CONTRIBUTION / INITIATIVES THAT FOSTER COLLABORATIONS, PROMOTES HEALTHCARE CAREERS AND POLICY ADVOCACY

125 Form 990.Schedule I. Part II. Grants and Other Assistance to Domestic Organizations and Domestic Governments. (a) Name and address of organization or government ( b) EIN (c ) IRC Code section if applicable ( d) Amount of cash grant ( e) Amount of noncash assistance (f) Method of valuation (book, FMV, appraisal, other) (g) Description of non-cash assistance (h) Purpose of grant or assistance CASA DE MARYLAND INC (C)-(3) 110,000 CASA/ADVENTIST 310 TULIP AVENUE HEALTHCARE 2014 TAKOMA PARK,MD PARTNERSHIP PAYMENT - PROJECTS THAT WILL RESULT IN THE EXPANSION OF HEALTH SERVICES PARTICULARLY IN SERVICING THE UNDERSERVED AND UNINSURED AREAS

126 Form 990.Schedule I. Part II. Grants and Other Assistance to Domestic Organizations and Domestic Governments. (a) Name and address of organization or government ( b) EIN (c ) IRC Code section if applicable ( d) Amount of cash grant ( e) Amount of noncash assistance (f ) Method of valuation (book, FMV, appraisal, other) (g) Description of non-cash assistance (h) Purpose of grant or assistance CENTRE POINTE (C)-(3) 10,000 NON-PROFIT COUNCELINGPO BOX 339 BEHAVIORAL ASHTON,MD HEALTH CENTER EMP/E-CLINICAL WORKS IMPLEMENTATION - PROJECTS THAT WILL RESULT IN THE EXPANSION OF HEALTH SERVICES PARTICULARLY IN SERVICING THE UNDERSERVED AND UNINSURED AREAS

127 Form 990.Schedule I. Part II. Grants and Other Assistance to Domestic Organizations and Domestic Governments. (a) Name and address of ( b) EIN (c ) IRC Code section ( d) Amount of cash (e) Amount of non- (f) Method of (g) Description of (h) Purpose of grant organization if applicable grant cash valuation non-cash assistance or assistance or government assistance (book, FMV, appraisal, other) CITY OF GAITHERSBURG CITY OF 5,000 SNOWFLAKE SOUTH SUMMIT AVENUE GAITHERSBURG SPONSOR FORTHE GAITHERSBURG,MD CITY OF GAITHERSBURG WINTER LIGHTS 2014

128 Form 990.Schedule I. Part II. Grants and Other Assistance to Domestic Organizations and Domestic Governments. (a) Name and address of organization or government ( b) EIN (c ) IRC Code section if applicable (d) Amount of cash grant ( e) Amount of noncash assistance (f) Method of valuation (book, FMV, appraisal, other) (g) Description of non-cash assistance (h) Purpose of grant or assistance COLUMBIA UNION (C)-(3) 187,500 FUNDING FOR CONFERENCE5427 TWIN PURPOSE OF KNOLLS RD MISSION WORK, COLUMBIA,MD YOUTH MINISTRY ND HEALTH AND WELLNESS OUTREACH - SEVENTH-DAY DVENTSIT PARTNERSHIPS

129 Form 990.Schedule I. Part II. Grants and Other Assistance to Domestic Organizations and Domestic Governments. (a) Name and address of organization or government ( b) EIN (c ) IRC Code section if applicable ( d) Amount of cash grant ( e) Amount of noncash assistance (f) Method of valuation (book, FMV, appraisal, other) (g) Description of non-cash assistance (h) Purpose of grant or assistance COMMITTEE FOR (C)-(4) 5,000 $5,000 FOR MONTGOMERY622 DIAMOND SPONSOR DENHAM ROAD LEVEL AT 2014 ROCKVILLE,MD ANNUAL LEGISLATIVE BREAKFAST- INITIATIVES THAT FOSTER COLLABORATIONS, PROMOTES HEALTHCARE CAREERS AND POLICY ADVOCACY

130 Form 990.Schedule I. Part II. Grants and Other Assistance to Domestic Organizations and Domestic Governments. (a) Name and address of organization or government ( b) EIN (c ) IRC Code section if applicable ( d) Amount of cash grant ( e) Amount of noncash assistance (f) Method of valuation (book, FMV, appraisal, other) (g) Description of non-cash assistance (h) Purpose of grant or assistance COMMONHEALTH ACTION (C)-(3) 50,000 $25,000 AS FIRST 1301 CONNECTICUT INSTALLMENT TO AVENUE NW SUPPORT WASHINGTON,DC MONTGOMERY COUNTY DHHS CONTINUED ENGAGEMENT OF THE INSTITUTE FOR PUBLIC HEALTH INNOVATION, $25,000 AS SECOND INSTALLMENT - (PROJECTS THAT WILL IMPROVE CULTURALLY COMPETENT CARE ND LINGUISTIC SERVICES, HEALTH DISPARITIES RESEARCH PROJECTS ND EDUCATIONAL CONFERENCES THAT WILL ADDRESS THE NEEDS OF VULNERABLE POPULATIONS/PROGRAMS THAT PROMOTE HEALTH AND WELLNESS IN THE REAS OF CANCER, CARDIOVASCULAR SERVICES, AND MATERNAL AND CHILD HEALTH/PROJECTS THAT WILL RESULT IN HE EXPANSION OF HEALTH SERVICES PARTICULARLY IN SERVICING THE UNDERSERVED AND UNINSURED REAS/INITIATIVES THAT FOSTER COLLABORATIONS, PROMOTES HEALTHCARE CAREERS AND POLICY ADVOCACY)

131 Form 990.Schedule I. Part II. Grants and Other Assistance to Domestic Organizations and Domestic Governments. (a) Name and address of organization or government ( b) EIN (c ) IRC Code section if applicable ( d) Amount of cash grant (e) Amount of noncash assistance (f) Method of valuation (book, FMV, appraisal, other) (g) Description of non-cash assistance (h) Purpose of grant or assistance COMMUNITY CLINIC INC (C)-(3) 175,000 2ND YEARS 8630 FENTON STREET CONTRIBUTION TO SUITE 1204 CCI EXPANSION TO SILVER SPRING, MD GREENBELT PROJECTS THAT WILL RESULT IN THE EXPANSION OF HEALTH SERVICES PARTICULARLY SERVICING THE UNDERSERVED AND UNINSURED AREAS

132 Form 990.Schedule I. Part II. Grants and Other Assistance to Domestic Organizations and Domestic Governments. (a) Name and address of organization or government ( b) EIN (c ) IRC Code section if applicable (d) Amount of cash grant (e) Amount of noncash assistance (f) Method of valuation (book, FMV, appraisal, other) (g) Description of non-cash assistance (h) Purpose of grant or assistance GREATER SILVER SPRING (C)-(6) 8,584 BOARD CHAMBER OF COMMERCE SPONSORSHIP GEORGIA AVE 203 CORPORATE SILVER SPRING, MD PARTNER INITIATIVES THAT FOSTER COLLABORATIONS, PROMOTES HEALTHCARE CAREERS AND POLICY ADVOCACY

133 Form 990.Schedule I. Part II. Grants and Other Assistance to Domestic Organizations and Domestic Governments. (a) Name and address of organization or government ( b) EIN (c ) IRC Code section if applicable ( d) Amount of cash grant (e) Amount of noncash assistance (f) Method of valuation (book, FMV, appraisal, other) (g) Description of non-cash assistance (h) Purpose of grant or assistance HACKETTSTOWN (C)-(3) 10,000 HACKETTSTOWN COMMUNITY HOSPITAL GOLF FOUNDATION INC651 CLASSIC/GALA/CANCER WILLOW GROVE STREET WALK - AN ANNUAL HACKETTSTOWN,NJ CONTRIBUTION THROUGH DVENTIST HEALTHCARE'S NNUAL PARTNERSHIP TO AID IN THE DEVELOPMENT OF HACKETTSTO WN'S CENTER

134 Form 990.Schedule I. Part II. Grants and Other Assistance to Domestic Organizations and Domestic Governments. (a) Name and address of organization or government ( b) EIN (c ) IRC Code section if applicable (d) Amount of cash grant (e) Amount of noncash assistance (f) Method of valuation (book, FMV, appraisal, other) (g) Description of non-cash assistance (h) Purpose of grant or assistance IMPACT SILVER SPRING (C)-(3) 10,000 VISIONARY 8545 PINEY BRANCH SPONSOR ($10,000) ROAD T THE IMPACT SILVER SPRING,MD NOW' 2014 EVENT INITIATIVES THAT FOSTER COLLABORATIONS, PROMOTES HEALTHCARE CAREERS AND POLICY ADVOCACY

135 Form 990.Schedule I. Part II. Grants and Other Assistance to Domestic Organizations and Domestic Governments. (a) Name and address of organization or government (b) EIN (c ) IRC Code section if applicable ( d) Amount of cash grant (e) Amount of noncash assistance (f) Method of valuation (book, FMV, appraisal, other) (g) Description of non-cash assistance (h) Purpose of grant or assistance LEADERSHIP (C)-(3) 23,000 $3,000 FOR EL MONTGOMERY SESSION SPONSOR EDUCATION FOUNDATION OF EMERGING INC5910 EXECUTIVE BLVD LEADER PROGRAM, 200 $5,000 FOR ROCKVILLE,MD CELEBRATION- DVENTIST HEALTHCARE INC $15,000 FOR CLASS PROGRAM -CORE PROGRAM SPONSOR - INITIATIVES THAT FOSTER COLLABORATIONS, PROMOTES HEALTHCARE CAREERS AND POLICY ADVOCACY

136 Form 990.Schedule I. Part II. Grants and Other Assistance to Domestic Organizations and Domestic Governments. (a) Name and address of organization or government ( b) EIN (c ) IRC Code section if applicable (d) Amount of cash grant (e) Amount of noncash assistance (f) Method of valuation (book, FMV, appraisal, other) (g) Description of non-cash assistance (h) Purpose of grant or assistance MANSFIELD KASEMAN (C)-(3) 5,000 $5,000 FOR MONTE HEALTH CLINIC114 WEST CARLO NIGHT - MONTGOMERY AVENUE DIAMOND SPONSOR ROCKVILLE,MD PROJECTSTHAT WILL RESULT IN THE EXPANSION OF HEALTH SERVICES PARTICULARLY IN SERVICING THE UNDERSERVED AND UNINSURED AREAS

137 Form 990.Schedule I. Part II. Grants and Other Assistance to Domestic Organizations and Domestic Governments. (a) Name and address of organization or government (b) EIN (c ) IRC Code section if applicable ( d) Amount of cash grant (e) Amount of noncash assistance (f) Method of valuation (book, FMV, appraisal, other) (g) Description of non-cash assistance (h) Purpose of grant or assistance MARYLAND HEALTHCARE (C)-(3) 300,000 NINTH SEMI-ANNUAL EDUCATION & RESEARCH PAYMENT O F FOUNDATION INC6820 $150,000, TENTH DEERPATH ROAD SEMI-ANNUAL ELKRIDGE,MD PAYMENT OF $150,000 - INITIATIVES THAT FOSTER COLLABORATIONS, PROMOTES HEALTHCARE CAREERS AND POLICY ADVOCACY

138 Form 990.Schedule I. Part II. Grants and Other Assistance to Domestic Organizations and Domestic Governments. (a) Name and address of organization or government ( b) EIN (c ) IRC Code section if applicable (d) Amount of cash grant (e) Amount of noncash assistance (f) Method of valuation (book, FMV, appraisal, other) (g) Description of non-cash assistance (h) Purpose of grant or assistance MARYLAND PATIENT (C)-(3) 7,000 10TH ANNUAL SAFETY CENTER6820 MARYLAND PATIENT DEERPATH ROAD SAFETY CENTER ELKRIDGE,MD CONFERENCE - GOLD SPONSOR THE CENTER EXTENDS CROSS MARYLAND INTO THE DISTRICT OF COLUMBIA, DELAWARE, AND NORTHERN VIRGINIA, AND IS DEDICATED TO CONTINUALLY ENHANCING THE QUALITY AND SAFETY OF PATIENT CARE IN ALL HEALTHCARE SETTINGS

139 Form 990.Schedule I. Part II. Grants and Other Assistance to Domestic Organizations and Domestic Governments. (a) Name and address of organization or government ( b) EIN (c ) IRC Code section if applicable (d) Amount of cash grant (e) Amount of noncash assistance (f) Method of valuation (book, FMV, appraisal, other) (g) Description of non-cash assistance (h) Purpose of grant or assistance MERCY HEALTH CLINIC (C)-(3) 10,000 HEART OF MERCY 9913 KENTSDALE DRIVE GALA - HEART OF POTOMAC,MD GOLD SPONSORSHIP ($7,500) AND GOLF CLASSIC SPONSORSHIP ($2,500) - PROJECTS THAT WILL RESULT IN THE EXPANSION OF HEALTH SERVICES PARTICULARLY IN SERVICING THE UNDERSERVED AND UNINSURED AREAS

140 Form 990.Schedule I. Part II. Grants and Other Assistance to Domestic Organizations and Domestic Governments. (a) Name and address of organization or government ( b) EIN (c ) IRC Code section if applicable ( d) Amount of cash grant (e) Amount of noncash assistance (f) Method of valuation (book, FMV, appraisal, other) (g) Description of non-cash assistance (h) Purpose of grant or assistance MOBILE MEDICAL (C)-(3) 345,000 $100,000 AS FIRST CAREINC9309 OLD INSTALLMENT FOR GEORGETOWN ROAD HE $200,000 BETHESDA,MD PLEDGE OF SUPPORT FOR SAFETY NET HEALTHCARE, $75,000 AS FIRST INSTALLMENT OF 5 EAR PLEDGE TO SUPPORT RENT AT UPCOUNTY, $100,000 S SECOND INSTALLMENT OF THE $200,000 BY 2014 PLEDGE, $70,000 FOR MEDICAL SERVICES FOR LOW-INCOME, UNINSURED RESIDENTS IN WAH SERVICE AREA JULY 2014-JUNE (PROJECTS THAT WILL IMPROVE CULTURALLY COMPETENT CARE ND LINGUISTIC SERVICES, HEALTH DISPARITIES RESEARCH PROJECTS ND EDUCATIONAL CONFERENCES THAT WILL ADDRESS THE NEEDS OF VULNERABLE POPULATIONS/PROGRAMS THAT PROMOTE HEALTH AND WELLNESS IN THE REAS OF CANCER, CARDIVASCULAR SERVICES, AND MATERNAL AND CHILD HEALTH/PROJECTS THAT WILL RESULT IN HE EXPANSION OF HEALTH SERVICES PARTICULARLY IN SERVICING THE UNDERSERVED AND UNINSURED AREAS)

141 Form 990.Schedule I. Part II. Grants and Other Assistance to Domestic Organizations and Domestic Governments. (a) Name and address of organization or government (b) EIN (c ) IRC Code section if applicable (d) Amount of cash grant (e) Amount of noncash assistance (f) Method of valuation (book, FMV, appraisal, other) (g) Description of non-cash assistance (h) Purpose of grant or assistance MONTGOMERY COUNTY (C)-(3) 12,000 MEMBERSHIP BUSINESS ROUNDTABLE CONTRIBUTION - FOR EDUCATION INC451 MONTGOMERY HUNGERFORD DRIVE COUNTY BUSINESS SUITE 508 ROUNDTABLE ROCKVILLE,MD COLLABORATES WITH MONTGOMERY COUNTY PUBLIC SCHOOLS AND INDUSTRY LEADERS O CONNECT REAL WORLD LEARNING O THE CLASSROOM WITH A GOAL OF PREPARING AND INSPIRING STUDENTS FOR SUCCESS IN COLLEGE, CAREERS ND THE COMMUNITY

142 Form 990.Schedule I. Part II. Grants and Other Assistance to Domestic Organizations and Domestic Governments. (a) Name and address of organization or government ( b) EIN (c ) IRC Code section if applicable (d) Amount of cash grant (e) Amount of noncash assistance (f) Method of valuation (book, FMV, appraisal, other) (g) Description of non-cash assistance (h) Purpose of grant or assistance MONTGOMERY COUNTY (C)-(6) 6,000 40TH ANNUAL CHAMBER OF COMMERCE PUBLIC SAFETY 451 HUNGERFORD DR 515 WARDS LUNCHEON ROCKVILLE,MD GOLD SPONSOR+2 ABLES - INITIATIVES THAT FOSTER COLLABORATIONS, PROMOTES HEALTHCARE CAREERS AND POLICY ADVOCACY

143 Form 990.Schedule I. Part II. Grants and Other Assistance to Domestic Organizations and Domestic Governments. (a) Name and address of organization or government ( b) EIN (c ) IRC Code section if applicable ( d) Amount of cash grant (e) Amount of noncash assistance (f) Method of valuation (book, FMV, appraisal, other) (g) Description of non-cash assistance (h) Purpose of grant or assistance MONTGOMERY HOSPICE (C)-(3) 5,000 CORPORATE 1450 RESEARCH BLVD PARTNERS IN THE SUITE 310 YEAR OF ROCKVILLE,MD (PROJECTS THAT WILL IMPROVE CULTURALLY COMPETENT CARE ND LINGUISTIC SERVICES/HEALTH DISPARITIES RESEARCH PROJECTS ND EDUCATIONAL CONFERENCES THAT WILL ADDRESS THE NEEDS OF VULNERABLE POPULATIONS)

144 Form 990.Schedule I. Part II. Grants and Other Assistance to Domestic Organizations and Domestic Governments. (a) Name and address of organization or government (b) EIN (c) IRC Code section if applicable ( d) Amount of cash grant (e) Amount of noncash assistance (f) Method of valuation (book, FMV, appraisal, other) (g) Description of non-cash assistance (h) Purpose of grant or assistance ONDA CAPITAL INC DBA N/A 5,000 ELEMUNDO EXPO TELEMUNDO WZDC2775 SPONSOR, FIESTA DE SOUTH QUINCY STREET LAS MADRES - STE 100 INITIATIVES THAT ARLINGTON,VA FOSTER COLLABORATIONS, PROMOTES HEALTHCARE CAREERS AND POLICY ADVOCACY

145 Form 990.Schedule I. Part II. Grants and Other Assistance to Domestic Organizations and Domestic Governments. (a) Name and address of organization or government ( b) EIN (c ) IRC Code section if applicable (d) Amount of cash grant (e) Amount of noncash assistance (f) Method of valuation (book, FMV, appraisal, other) (g) Description of non-cash assistance (h) Purpose of grant or assistance REGINALD S LOURIE (C)-(3) 6,000 $1,000 DONATION CENTER FOR INFANTS AND O THE LOURIE YOUNG CHILDREN INC CENTER AS A GIFT ACADEMY WAY ND $5,000 FOR THE ROCKVILLE,MD BENEFIT AND WARDS EVENT HELPING 4,000 CHILDREN AND FAMILIES EACH YEAR REGARDLESS OF ABILITY TO PAY

146 Form 990.Schedule I. Part II. Grants and Other Assistance to Domestic Organizations and Domestic Governments. (a) Name and address of ( b) EIN (c ) IRC Code section (d) Amount of cash (e) Amount of non- (f) Method of (g) Description of (h) Purpose of grant organization if applicable grant cash valuation non-cash assistance or assistance or government assistance (book, FMV, appraisal, other) SHADY GROVE ADVENTIST (C)-(3) 16,000 DONATIONS MADE HOSPITAL FOUNDATION O A GOLF INC820 W DIAMOND TOURNAMENT, WITH AVENUE ALL THE PROCEEDS GAITHERSBURG,MD OF THIS EVENT GOING TOWARDS CRITICAL NEEDS

147 Form 990.Schedule I. Part II. Grants and Other Assistance to Domestic Organizations and Domestic Governments. (a) Name and address of ( b) EIN (c ) IRC Code section (d) Amount of cash (e) Amount of non- (f) Method of (g) Description of (h) Purpose of grant organization if applicable grant cash valuation non-cash assistance or assistance or government assistance (book, FMV, appraisal, other) SHADY GROVE ADVENTIST (C)-(3) 132,140 FACILITY RENT FOR HOSPITAL FOUNDATION SPACE AT THE INC820 W DIAMOND ADVENTIST AVENUE HEALTHCARE SHADY GAITHERSBURG,MD GROVE MEDICAL CENTER

148 Form 990.Schedule I. Part II. Grants and Other Assistance to Domestic Organizations and Domestic Governments. (a) Name and address of organization or government ( b) EIN (c ) IRC Code section if applicable (d) Amount of cash grant (e) Amount of noncash assistance (f) Method of valuation (book, FMV, appraisal, other) (g) Description of non-cash assistance (h) Purpose of grant or assistance STATE OF MARYLAND STATE OF 25,000 $10,000 FOR PATTERSON AVE MARYLAND PARTIALLY COVER BALTIMORE,MD EXPENSES RELATED O THE RESPIRATORY THERAPY PROGRAM HE COOPERATIVE PROGRAM BETWEEN SALISBURY UNIVERSITY AND HE UNIVERSITY SYSTEM OF MARYLAND'S REGIONAL CENTER, HE UNIVERSITIES T SHADY GROVE, IN ORDER TO SUPPORT ENROLLMENT AND GRADUATION OF STUDENTS FROM HIS PROGRAM AND BETTER THEIR EXPERIENCE IN CLINICAL ROTATIONS $15,000 WAS OWARDS THE FUND, "SHADY GROVE DVENTIST HOSPITAL OPERATING SCHOLARSHIP FOR HE HEALTH PROFESSIONS", AND HE PURPOSE OF HE FUND IS TO PROVIDE SCHOLARSHIPS FOR STUDENTS TTENDING THE UNIVERSITIES AT SHADY GROVE AND STUDYING PROGRAMS RELATED 0 ALLIED HEALTH PROFESSIONS

149 Form 990.Schedule I. Part II. Grants and Other Assistance to Domestic Organizations and Domestic Governments. (a) Name and address of organization or government (b) EIN (c ) IRC Code section if applicable (d) Amount of cash grant (e) Amount of noncash assistance (f) Method of valuation (book, FMV, appraisal, other) (g) Description of non-cash assistance (h) Purpose of grant or assistance STRATHMORE HALL (C)-(3) 10,000 ANNUAL SPRING FOUNDATION INC5301 GALA "NOCHE DE TUKERMAN LANE PASION" TABLE NORTH BETHESDA,MD SPONSOR INITIATIVES THAT FOSTER COLLABORATIONS, PROMOTES HEALTHCARE CAREERS AND POLICY ADVOCACY

150 Form 990.Schedule I. Part II. Grants and Other Assistance to Domestic Organizations and Domestic Governments. (a) Name and address of organization or government (b) EIN (c ) IRC Code section if applicable ( d) Amount of cash grant (e) Amount of noncash assistance (f) Method of valuation (book, FMV, appraisal, other) (g) Description of non-cash assistance (h) Purpose of grant or assistance TECHNOLOGY COUNCIL (C)-(6) 12,000 PLATINUM SPONSOR OF MARYLAND9210 OFTHE TCM CORPORATE BLVD STE 470 INDUSTRY AWARD, ROCKVILLE,MD WHICH HONORS THE BEST IN THE MID- TLANTIC AREA'S LIFE SCIENCE AND TECHNOLOGY COMMUNITIES TCM RECOGNIZES EXECUTIVES, BUSINESSES AND INNOVATIVE TECHNOLOGY DEVELOPED IN MARYLAND AND THE SURROUNDING REGIONS

151 Form 990.Schedule I. Part II. Grants and Other Assistance to Domestic Organizations and Domestic Governments. (a) Name and address of organization or government ( b) EIN (c ) IRC Code section if applicable (d) Amount of cash grant (e) Amount of noncash assistance (f) Method of valuation (book, FMV, appraisal, other) (g) Description of non-cash assistance (h) Purpose of grant or assistance WASHINGTON ADVENTIST (C)-(3) 10,000 DONATIONS MADE HOSPITAL FOUNDATION O TWO SPECIAL INC7600 CARROLL FUNDRAISING AVENUE EVENTS,A BLACK TAKOMA PARK,MD TIE GALA AND A GOLF TOURNAMENT, WITH ALL THE PROCEEDS OF THESE EVENT GOING TOWARDS CRITICAL NEEDS

152 Form 990.Schedule I. Part II. Grants and Other Assistance to Domestic Organizations and Domestic Governments. (a) Name and address of organization or government ( b) EIN (c ) IRC Code section if applicable ( d) Amount of cash grant (e) Amount of noncash assistance (f) Method of valuation (book, FMV, appraisal, other) (g) Description of non-cash assistance (h) Purpose of grant or assistance WASHINGTON ADVENTIST (C)-(3) 158,966 CONSULTING HOSPITAL FOUNDATION SERVICES INC7600 CARROLL PROVIDED TO WAH- AVENUE RELATES TO TAKOMA PARK, MD LAUNCHING AN ONLINE FUNDRAISING SERVICE &MAJOR GIFT FUNDRAISING SERVICES

153 Form 990.Schedule I. Part II. Grants and Other Assistance to Domestic Organizations and Domestic Governments. (a) Name and address of organization or government (b) EIN (c ) IRC Code section if applicable (d) Amount of cash grant (e) Amount of noncash assistance (f) Method of valuation (book, FMV, appraisal, other) (g) Description of non-cash assistance (h) Purpose of grant or assistance WASHINGTON ADVENTIST (C)-(3) 9,000 POTTY AND UNIVERSITY7600 FLOWER SANITARY STATIONS AVENUE SPONSORAT 2014 TAKOMA PARK,MD FAMILY FUN FESTIVAL ($2,500), $5,000 TO SUPPORT WAU VISIONARIES GALA AT THE BRONZE LEVEL, $1,500 FOR JARRETT SMITH'S PROGRAM FORTHE CITY OFTAKOMA PARK - INITIATIVES THAT FOSTER COLLABORATIONS, PROMOTES HEALTHCARE CAREERS AND POLICY ADVOCACY/SEVENTH- DAY ADVENTIST PARTNERSHIPS)

154 l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: Schedule J Compensation Information OMB No (Form 990) For certain Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees 1- Complete if the organization answered "Yes" to Form 990, Part IV, line 23. Department of the Treasury 1- Attach to Form 990. Internal Revenue Service 1- Information about Schedule J (Form 990) and its instructions is at Name of the organization ADVENTIST HEALTHCARE INC Questions Re g ardin g Com p ensation 2014 Employer identification number la Check the appropiate box(es ) if the organization provided any of the following to or for a person listed in Form 990, Part VII, Section A, line la Complete Part III to provide any relevant information regarding these items 1 First-class or charter travel 1 Housing allowance or residence for personal use 1 Travel for companions 1 Payments for business use of personal residence 1 Tax idemnification and gross - up payments F Health or social club dues or initiation fees 1 Discretionary spending account 1 Personal services ( e g, maid, chauffeur, chef) Yes No b If any of the boxes in line la are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain lb No 2 Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all directors, trustees, officers, including the CEO/ Executive Director, regarding the items checked in line la? 2 Yes 3 Indicate which, if any, of the following the filing organization used to establish the compensation of the organization 's CEO/ Executive Director Check all that apply Do not check any boxes for methods used by a related organization to establish compensation of the CEO / Executive Director, but explain in Part III F Compensation committee 1 Written employment contract F Independent compensation consultant F Compensation survey or study 1 Form 990 of other organizations F Approval by the board or compensation committee 4 During the year, did any person listed in Form 990, Part VII, Section A, line la with respect to the filing organization or a related organization a Receive a severance payment or change-of-control payment? 4a Yes b Participate in, or receive payment from, a supplemental nonqualified retirement plan? 4b Yes c Participate in, or receive payment from, an equity-based compensation arrangement? 4c No If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III Only 501 ( c)(3), 501 ( c)(4), and 501 ( c)(29) organizations must complete lines For persons listed in Form 990, Part VII, Section A, line la, did the organization pay or accrue any compensation contingent on the revenues of a The organization? 5a No b Any related organization? 5b No If "Yes," to line 5a or 5b, describe in Part III 6 For persons listed in Form 990, Part VII, Section A, line la, did the organization pay or accrue any compensation contingent on the net earnings of a The organization? 6a No b Any related organization? 6b No If "Yes," to line 6a or 6b, describe in Part III 7 For persons listed in Form 990, Part VII, Section A, line la, did the organization provide any non-fixed payments not described in lines 5 and 6? If "Yes," describe in Part III 7 No 8 Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was subject to the initial contract exception described in Regulations section (a)(3)? If "Yes," describe in Part III 9 If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section (c)? 9 8 No For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat No 50053T Schedule 3 (Form 990) 2014

155 Schedule J (Form 990) 2014 Page 2 Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed. For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the instructions, on row (ii) Do not list any individuals that are not listed on Form 990, Part VII Note. The sum of columns (B)(1)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line la, applicable column (D) and (E) amounts for that individual (A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and (D) Nontaxable (E) Total of (F) Compensation in (ii) Bonus & (iii) Other other deferred benefits columns column(b) reported (i) Base incentive reportable compensation (B)(i)-(D) as deferred in prior compensation compensation compensation Form 990 See Additional Data Table Schedule 3 (Form 990) 2014

156 Schedule J (Form 990) 2014 Page 3 Supplemental Information Provide the information, explanation, or descriptions required for Part I, lines la, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II Also complete this part for any additional information Return Reference Explanation PART I, LINE 1A ADVENTIST HEALTHCARE DOES NOT HAVE A WRITTEN POLICY REGARDING REIMBURSEMENT OR PROVISION OFA CLUB EXPENSES HOWEVER, ADVENTIST HEALTHCARE OWNS A CORPORATE MEMBERSHIP AT A LOCAL GOLF CLUB, IN WHICH THREE ADVENTIST HEALTHCARE EMPLOYEES CAN BE DESIGNATED TO USE THE FACILITIES CLUB EXPENSES ARE PAID BY ADVENTIST HEALTHCARE, BUT ARE TREATED AS TAXABLE INCOME TO THE RESPECTIVE ADVENTIST HEALTHCARE EMPLOYEES, SUBJECT TO FEDERAL AND STATE TAX WITHHOLDINGS THE CLUB EXPENDITURES ARE REVIEWED ANNUALLY BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES, IN ACCORDANCE WITH IRS INTERMEDIATE SANCTION GUIDELINES PART I, LINE 3 COMPENSATION DEFINED THE COMPENSATION REPORTED FOR THE EMPLOYEES SET FORTH ON SCHEDULE J IS COMPRISED OF THE FOLLOWING BASE COMPENSATION INCLUDES NONDISCRETIONARY PAYMENTS, AGREED UPON IN ADVANCE, CONTINGENT ONLY UPON THE PAYEES PERFORMANCE OF AGREED UPON SERVICES (SUCH AS SALARY OR FEES) INCENTIVE COMPENSATION INCLUDES PAYMENTS BASED ON SATISFACTION OF PRE-DETERMINED PERFORMANCE TARGETS SUCH AS QUALITY/PATIENT SAFETY GOALS, EMPLOYEE AND CUSTOMER ENGAGEMENT GOALS, ORGANIZATIONAL GROWTH, AND FINANCIAL PERFORMANCE, AMONG OTHER THINGS OTHER REPORTABLE COMPENSATION INCLUDES CERTAIN CUMULATIVE LUMP-SUM TAXABLE PAYMENTS MADE AS A RESULT OFTAX LAW CHANGES THAT AFFECTED THE ADMINISTRATION OF ADVENTIST HEALTHCARE CAPITAL ACCUMULATION ACCOUNT (CAA) PLAN ESTABLISHED PURSUANT TO SECTION 457(F) OF THE INTERNAL REVENUE CODE IN ADDITION, OTHER REPORTABLE COMPENSATION INCLUDES LONG- TERM DISABILITY COVERAGE, CELL PHONE ALLOWANCES, CASH-OUT OF UNUSED PAID TIME OFF (PTO) HOURS, IMPUTED VALUE OF LIFE INSURANCE BENEFITS, TAXABLE PAYABLE PAY, AND SEVERANCE, AS APPLICABLE NON-TAXABLE BENEFITS INCLUDES PRE-TAX PAYROLL DEDUCTIONS (SUCH AS FLEXIBLE MEDICAL SPENDING, DEPENDENT CARE, AND EMPLOYEE HEALTH BENEFIT PREMIUM), AND THE EMPLOYER PORTION OF CERTAIN EMPLOYEE BENEFITS SUCH AS HEALTH INSURANCE, DENTAL INSURANCE, VISION INSURANCE, LIFE INSURANCE, BASE CONTRIBUTIONS TO RETIREMENT PLANS, MATCHING OF EMPLOYEES RETIREMENT CONTRIBUTIONS, QUALIFIED NON-TAXABLE EMPLOYEE MOVING REIMBURSEMENTS, ETC PAY PRACTICE ADVENTIST HEALTHCARE UTILIZES A SINGLE EMPLOYER ID FOR ALL OF ITS AFFILIATED ENTITIES FOR EMPLOYMENT PURPOSES AS SUCH, ACTUAL COMPENSATION AND BENEFITS ARE CHARGED TO THE RESPECTIVE ENTITIES AND THE RESULTING COMPENSATION AND BENEFITS ARE REPORTED ON EACH AFFILIATE IRS FORM 990 AS IF PAID DIRECTLY BY SUCH AFFILIATE AS APPLICABLE,THE SAME AND NON-ADDITIVE COMPENSATION AND EMPLOYMENT BENEFIT PLAN CONTRIBUTION AMOUNTS WERE ALSO DISCLOSED IN THE ADVENTIST HEALTHCARE INC RELATED ENTITIES RETURNS INDEPENDENT GUIDELINES WHEN SETTING COMPENSATION FOR THE OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, AND THE HIGHEST COMPENSATED EMPLOYEES, ADVENTIST HEALTHCARE FULLY COMPLIES WITH THE PROCEDURAL SAFE GUARDS EMBODIED IN IRS REGULATIONS COMPENSATION FOR ADVENTIST HEALTHCARE OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, AND THE HIGHEST COMPENSATED EMPLOYEES IS ENTIRELY SET BY A COMMITTEE OF ADVENTIST HEALTHCARE BOARD OF TRUSTEES IN SETTING COMPENSATION, THE GOVERNING BOARD COMMITTEE RELIES UPON MARKET COMPARABILITY DATA PROVIDED BY AN INDEPENDENT OUTSIDE COMPENSATION CONSULTANT WHO PROVIDES A SUMMARY OF HEALTH CARE SALARIES AND BENEFITS FOR COMPARABLE SIZED ORGANIZATIONS BOTH NATIONALLY AND IN THE BALTIMORE-WASHINGTON REGION TO FURTHER ENSURE REASONABLENESS, BOTH COMPENSATION AND BENEFITS ARE TARGETED AT THE 50TH PERCENTILE (OR MEDIAN) OF THE MARKET PAY PHILOSOPHY FOR ALL ADVENTIST HEALTHCARE EMPLOYEES INCLUDING THOSE LISTED ON SCHEDULE J,THE GOAL OF ADVENTIST HEALTHCARE IS TO OFFER COMPETITIVE SALARIES IN ORDER TO ATTRACT, HIRE AND RETAIN QUALIFIED AND TALENTED INDIVIDUALS MAINTAINING A QUALITY AND STABLE WORKFORCE HAS A POSITIVE IMPACT ON THE WORKPLACE AND ON THE CARE PROVIDED TO OUR PATIENTS/RESIDENTS AND THEIR FAMILIES IN GENERAL, NON-EXECUTIVE EMPLOYEES ARE COMPENSATED UTILIZING THE FULL WAGE SCALE FOR THEIR RESPECTIVE POSITIONS, COMPARED TO THE MARKET HOWEVER, EXECUTIVES ARE GENERALLY LIMITED TO THE MEDIAN OF THE MARKET FOR THEIR RESPECTIVE POSITIONS PART I, LINES 4A-B CUMULATIVE LUMP-SUM TAXABLE PAYMENTS MADE AS A RESULT OF TAX LAW CHANGES THAT AFFECTED THE ADMINISTRATION OF THE ADVENTIST HEALTHCARES CAPITAL ACCUMULATION ACCOUNT (CAA) PLAN ESTABLISHED PURSUANT TO SECTION 457(F)OFTHE INTERNAL REVENUE CODE WERE AS FOLLOWS TERRY FORDE $170,890 JAMES G LEE $114,984 JOHN SACKETT $99,987 ERIK WANGSNESS $15,399 JASON C COE $37,716 PATRICK GARRETT $82,821 SUSAN L GLOVER $43,040 MARTA BRITO PEREZ $61,838 KEVIN YOUNG $51,598 BRENT REITZ $35,895 KEITH BALLENGER $21,399 AMY CARRIER $43,495 THOMAS GRANT $20,059 KEVIN SMOTHERS $80,264 KENNETH B DESTEFANO $41,865 RANDALL WAGNER, MD $72,981 EUNMEE SHIM $33,704 DANIEL L COCHRAN $49,258 ALSO, IN 2014, SEVERANCE PAYMENTS WERE MADE TO DENNIS DUANE HANSEN $345,341 Schedule 3 (Form 990) 2014

157 Additional Data Software ID: Software Version: EIN: Name : ADVENTIST HEALTHCARE INC Form 990, Schedule J. Part II - Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and (D) Nontaxable (E) Total of columns (F) Compensation in (i) Base (ii) Bonus & (iii) Other other deferred benefits (B)(I)-(D) column (B) reported as deferred in Compensation incentive reportable compensation prior Form 990 compensation compensation 1 WILLIAM G ROBERTSON, (I) 314, ,960 22,969 9,523 6, ,230 0 SEPARATED PRESIDENT & (II) 0 CEO TERRY FORDE, (I) 723,723 67, ,559 12,850 19,770 1,019,222 0 PRESIDENT & CEO (II) JAMES G LEE, EVP & CFO (I) 479,315 61, ,864 13,000 6, ,913 0 (II) JOHN SACKETT, EVP & (I) 483,015 92, ,011 13,000 25, ,437 0 COO OF AHC & PRESIDENT (II) 0 OF SGMC ERIK WANGSNESS, (I) 86, ,840 2,631 3, ,605 0 PRESIDENT, WAH (II) JOYCE L NEWMYER, (I) 170,304 42,075 37,637 8,631 9, ,729 0 SEPARATED PRESIDENT, WAH (II) JASON C COE, (I) 271,520 35,114 41,224 13,000 29, ,725 0 PRESIDENT, HRMC (II) PATRICK GARRETT, SVP (I) 365,490 29,855 88,410 8,677 20, ,756 0 & PHYSICIAN INTEGRATION (II) SUSAN LGLOVER, SVP & (I) 267,226 33,915 47,323 13,000 19, ,014 0 SYSTEM QUALITY (II) MARTA BRITO PEREZ, (I) 307,944 32,865 67,506 13,000 15, ,616 0 SVP & CHIEF HR OFFICER (II) KEVIN YOUNG, (I) 278,838 64,868 55,495 10,496 19, ,262 0 PRESIDENT, BHWS (II) BRENT REITZ, (I) 226,361 19,814 38,928 11,287 22, ,005 0 PRESIDENT, ARHM (II) KEITH BALLENGER, VP, (I) 164,870 23,808 29,366 8,256 19, ,729 0 HOME HEALTH (II) AMY CARRIER, VP, (I) 220,162 18,361 45,189 6,511 12, ,589 0 BUS DEVELOPMENT & (II) 0 STRATEGIC PLA THOMAS GRANT, VP, (I) 172,599 25,707 23,086 8,880 19, ,707 0 PUBLIC RELATIONS & (II) 0 MARKETING KEVIN SMOTHERS, VP (I) 393,787 75,784 86,230 12,850 17, ,288 0 &CMO (II) KENNETH B DESTEFANO, (I) 334,278 34,476 68,389 13,000 19, ,613 0 VP & GENERAL COUNSEL (II) RANDALLWAGNER, VP (I) 332,306 29,699 77,640 8, ,563 0 &CMO, WAH (II) EUNMEE SHIM, VP, (I) 211,736 42,844 36,899 7,674 21, ,136 0 OPERATIONS (II) DANIELLCOCHRAN, VP (1) 265,419 54,060 53,012 13,000 13, ,130 0 & CFO, SGMC (II)

158 Form 990, Schedule J. Part II - Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (A) Name and Title 21 DENNIS DUANE HANSEN, FORMER PRESIDENT, SGMC (B) Breakdown of W-2 and/or 1099-MISC compensation (i) Base (ii) Bonus & (iii) Other Compensation incentive reportable compensation compensation (I) 0 0 p0 341,2960 (C) Retirement and (D ) Nontaxable (E) Total of columns (F) Compensation in other deferred benefits (B)(i)-(D) column (B) reported as deferred in compensation prior Form , ,

159 lefile GRAPHIC print - DO NOT PROCESS As Filed Data - DLN: Schedule K OMB No (Form 990) Supplemental Information on Tax Exempt Bonds 1- Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions, explanations, and any additional information in Part VI. 1- Attach to Form 990. Department of the Treasury Information about Schedule K (Form 990) and its instructions is at Internal Revenue Service Name of the organization ADVENTIST HEALTHCARE INC Bond Issues 2014 Employer identification number (a) Issuer name ( b) Issuer EIN (c) CUSIP # ( d) Date issued ( e) Issue price (f) Description of purpose ( g) Defeased (h) On behalf of issuer (i) Pool financing Yes No Yes No Yes No A MHHEFA (2005 A) VS ,000,000 SEE PART VI X X X B MHHEFA (2011 A) CH ,508,761 SEE PART VI X X X C MHHEFA (2011 B) NONEAVAIL ,980,000 SEE PART VI X X X D MHHEFA (2013) NONEAVAIL ,623,500 SEE PART VI X X X n n.ii Proceeds 1 A mount of bonds retired 2 Amount of bonds legally defeased A B C D 3 Total proceeds of issue 79,853,550 57,508,761 59,980,000 15,623,500 4 Gross proceeds in reserve funds 5,858,203 5 Capitalized interest from proceeds 4,537,581 6 Proceeds in refunding escrows 7 Issuance costs from proceeds 691, , ,992 8 Credit enhancement from proceeds 490,630 9 Working capital expenditures from proceeds 10 Capital expenditures from proceeds 74,134, Other spent proceeds 53,581,715 59,429,008 15,623, Other unspent proceeds 13 Year of substantial completion Yes No Yes No Yes No Yes No 14 Were the bonds issued as part of a current refunding issue? X X X X 15 Were the bonds issued as part of an advance refunding issue? X X X X 16 Has the final allocation of proceeds been made? X X X X 17 Does the organization maintain adequate books and records to support the final allocation of proceeds? i n.iii Private Business Use 1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? 2 Are there any lease arrangements that may result in private business use of bondfinanced property? X X X X A B C D Yes No Yes No Yes No Yes No X X X X X X X X For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat No 50193E Schedule K ( Form 990) 2014

160 Schedule K (Form 990) 2014 Schedule K (Form 990) 2014 Pa g e 2 Private Business Use (Continued) 3a Are there any management or service contracts that may result in private business use of bond-financed property? A B C D Yes No Yes No Yes No Yes No X X X X b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed X X X property? c Are there any research agreements that may result in private business use of bondfinanced property? X X X X d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? X X X 4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government 0-0 % % % % 5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 0 % 0 % 0 % 0 % 501(c)(3) organization, or a state or local government 0-6 Total of lines 4 and 5 0 % % % % 7 Does the bond issue meet the private security or payment test? X X X X ga Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were X X X X issued? b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections and g Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under X X X X Regulations sections and ? Arbitrage 1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? 2 If "No" to line 1, did the following apply? A B C D Yes No Yes No Yes No Yes No X X X X a Rebate not due yet? X X X X b Exception to rebate? X X X X c No rebate due? X X X X If "Yes" to line 2c, provide in Part VI the date the rebate computation was performed 3 Is the bond issue a variable rate issue? X X X X 4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue? b Name of provider DEUTSCHE BANK X X X X c Term of hedge d Was the hedge superintegrated? X e Was the hedge terminated? X

161 Schedule K (Form 990 ) 2014 Page 3 Arbitrage (Continued) A B C D Yes No Yes No Yes No Yes No 5a Were gross proceeds invested in a guaranteed investment X X X X contract (GIC)7 b Name of provider c d Term of GIC Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? 6 Were any gross proceeds invested beyond an available temporary period? 7 Has the organization established written procedures to monitor the requirements of section 148? Procedures To Undertake Corrective Action Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X X X X X X X X A B C D Yes No Yes No Yes No Yes No X X X X I 0 Suuulemental Information. Provide additional information for responses to auestions on Schedule K (see instructions). Return Reference I Explanation ENTITY 1 - PART I BOND ISSUES A (A) ISSUER NAME MARYLAND HEALTH AND HIGHER EDUCATIONAL FACILITIES AUTHORITY (MHHEFA) (F) DESCRIPTION OF PURPOSE SHADY GROVE ADVENTIST HOSPITAL (SGAH) EXPANSION PROJECT - SHADY GROVE (SG)TOWER, RENOVATION TO SURGERY DEPARTMENT, MEDICAL/ONCOLOGY NURSING, MEDICAL NURSING, SURGICAL UNITS, EXPANDED EMERGENCY, OBSTETRICS, AND NEONATAL INTENSIVE CARE UNIT, POWER PLANT, ROAD AND ENTRANCEWAY, SIGNAGE AND PARKING, OTHER ROUTINE CAPITAL PROJECTS, B (A) ISSUER NAME MHHEFA (F) DESCRIPTION OF PURPOSE REFUNDING SERIES 2003 B, 2004 AND 2005 ISSUED 2/27/2003, 9/14/04 AND 12/20/05 CONSTRUCTION AND RENOVATIONS AT WASHINGTON ADVENTIST HOSPITAL (WAH), SG, ADVENTIST BEHAVIORAL HEALTH (ABH), AND SG NURSING AND REHABILITATION CENTER EQUIPMENT AT WAH, SG, ABH, AND SG NURSING AND REHABILITATION CENTER, REFINANCE A LINE OF CREDIT, FINANCE AND REFINANCE,A PORTION OFTHE EXISTING FACILITIES OFADVENTIST REHABILITATION HOSPITAL OF MARYLAND (ARHM), ACQUISITION OF LIFE SCIENCES LAND, CONSTRUCTION, RENOVATIONS, PARKING LOTS, FENCES, WALKWAYS, AND LANDSCAPING FOR THE INSTITUTION, ARHM, AND SG NURSING, EQUIPMENT FOR ARHM AND SG NURSING, PLANNING AND DESIGN COSTS RELATED TO SG TOWER, COST OF ACQUISITION OFAN INTEREST IN ARHM, C (A) ISSUE NAME MHHEFA (F) DESCRIPTION OF PURPOSE REFUNDING OF 2004 A AND 2005 B FINANCE AND REFINANCE EXISTING FACILITIES AT ARHM, ACQUISITION OF LIFE SCIENCES LAND, FINANCE OR REFINANCE CONSTRUCTION, RENOVATION, PARKING LOTS, FENCES, WALKWAYS, LANDSCAPING, VARIOUS MAJOR MEDICAL EQUIPMENT, FINANCE OR REFINANCE CERTAIN PLANNING AND DESIGN COSTS RELATED TO THE CONSTRUCTION OFTHE SG TOWER, COST OF ACQUISITION OF AN INTEREST IN ARHM, ACQUISITION, CONSTRUCTION, RENOVATION, AND EQUIPPING OF ARHM AND WAH, RENOVATION TO WAH AND SG D (A) ISSUE NAME MHHEFA (F) DESCRIPTION OF PURPOSE REFUND OF 2003 A BONDS REFUND 1991 A FOR THE "1991 A-1 PROJECT" - PROJECTS FINANCED OR REFINANCED WITH THE PROCEEDS OFTHE 1983 BONDS, INCLUDING CONSTRUCTION, RENOVATION AND EQUIPPING OF FACILITIES AT WAH, PART II, COLUMN A THE 2005 A BOND ISSUE WAS OFFERED AT $78,000,000 00, BUT AS THIS ISSUE WAS FORA CONSTRUCTION PROJECT,THE PROCEEDS EARNED INTEREST IN A CONSTRUCTION FUND THE PROCEEDS, THEREFORE, WERE MORE THAN THE ISSUING PRICE PART II, COLUMN B 2011 A HAS A RESERVE FUND VALUED AT $5,858, AS OF 12/31/2014 THIS RESERVE FUND WAS RESIZED WITH RESPECT TO THE REFUND OF THE 2003A BONDS WHICH WAS COMBINED WITH THE 2011 A RESERVE FUND ROW 3 WILL NOT TIE TO THE SUM OF ROWS 4-12 FOR THIS BOND ISSUE

162 Return Reference Explanation A (A) ISSUER NAME MHHEFA (F) DESCRIPTION OF PURPOSE ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER (SGMC) F/K/A SHADY GROVE ADVENTIST HOSPITAL - CAF AND KITCHEN SANITARY PIPING CHANGES, ENTITY 2 - PART I BOND PIXUS EXPANSION, INTERIOR WAY/EXTERIOR WAY FINDING, SGMC BASED IT PROJECTS (GE VIEWPOINT, I-HEAL, ISSUES AEROSCOUT), BUILD OUT OF EXISTING SHELL, RENOVATION IN PLACE OF EXISTING PHARMACY AND IV PREP ROOMS, ADVENTIST HEALTHCARE WASHINGTON ADVENTIST HOSPITAL (AHC-WAH) F/K/A WASHINGTON ADVENTIST HOSPITAL - ULTRASOUND EQUIPMENT,AHC-WAH CERTIFICATE OF NEED EXPENSES

163 lefile GRAPHIC print - DO NOT PROCESS As Filed Data - DLN: Schedule K OMB No (Form 990) Supplemental Information on Tax Exempt Bonds 1- Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions, explanations, and any additional information in Part VI Attach to Form 990. Department of the Treasury Open to Public Information about Schedule K (Form 990) and its instructions is at Internal Revenue Service I Inspection Name of the organization Employer identification number ADVENTIST HEALTHCARE INC Bond Issues (a) Issuer name ( b) Issuer EIN (c) CUSIP # (d) Date issued ( e) Issue price (f) Description of purpose ( g) Defeased (h) On (i) Pool behalf of financing issuer Yes No Yes No Yes No A MHHEFA (2014 A) NONEAVAIL ,000,000 SEE PART VI X X X n OOG Proceeds 1 A mount of bonds retired 2 Amount of bonds legally defeased A B C D 3 Total proceeds of issue 25,000,000 4 Gross proceeds in reserve funds 5 Capitalized interest from proceeds 6 Proceeds in refunding escrows 7 Issuance costs from proceeds 168,000 8 Credit enhancement from proceeds 9 Working capital expenditures from proceeds 10 Capital expenditures from proceeds 11 Other spent proceeds 24,832, Other unspent proceeds 13 Year of substantial completion Were the bonds issued as part of a current refunding issue? X 15 Were the bonds issued as part of an advance refunding issue? X 16 Has the final allocation of proceeds been made? X 17 Does the organization maintain adequate books and records to support the final allocation of proceeds? IT III Private Business Use 1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? 2 Are there any lease arrangements that may result in private business use of bond- X financed property? Yes No Yes No Yes No Yes No X A B C D Yes No Yes No Yes No Yes No For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat No 50193E Schedule K (Form 990) 2014 X

164 Schedule K (Form 990) 2014 Schedule K (Form 990) 2014 Pa g e 2 Private Business Use (Continued) 3a Are there any management or service contracts that may result in private business use of bond-financed property? b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed X property? A B C D Yes No Yes No Yes No Yes No X c Are there any research agreements that may result in private business use of bondfinanced property? X d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? X 4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government % 5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 0 % 501(c)(3) organization, or a state or local government 0-6 Total of lines 4 and % 7 Does the bond issue meet the private security or payment test? X ga Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were X issued? b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections and g Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under X Regulations sections and ? Arbitrage 1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? 2 If "No" to line 1, did the following apply? a Rebate not due yet? X b Exception to rebate? X c No rebate due? X If "Yes" to line 2c, provide in Part VI the date the rebate computation was performed 3 Is the bond issue a variable rate issue? X A B C D Yes No Yes No Yes No Yes No X 4a b c d e Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue? Name of provider Term of hedge Was the hedge superintegrated? Was the hedge terminated? X

165 Schedule K (Form 990) 2014 Page 3 Arbitrage (Continued) 5a Were gross proceeds invested in a guaranteed investment X contract (GIC)7 b Name of provider A B C D Yes No Yes No Yes No Yes No C d Term of GIC Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? 6 Were any gross proceeds invested beyond an available temporary period? 7 Has the organization established written procedures to monitor the requirements of section 148? MEMMWE Procedures To Undertake Corrective Action Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X X A B C D Yes No Yes No Yes No Yes No X Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions). Schedule K (Form 990) 2014

166 l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: Schedule L Transactions with Interested Persons OMB No (Form 990 or 990-EZ) 0- Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b. 2O14 Department of the Treasury 0- Attach to Form 990 or Form 990-EZ. Open Internal Revenue Service 1-Information about Schedule L (Form 990 or EZ) and its instructions is at Insp e ction gov/form990. Name of the organization ADVENTIST HEALTHCARE INC Employer identification number L^l Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only) Cmmnlata iftha nrnanvatinn ancwarad "Yac" nn Fnrm 99n Part TV Iina 75a nr 75h nr Fnrm 99n-F7 Part V Iina 4nh 1 (a) Name of disqualified person (b) Relationship between disqualified (c) Description of transaction (d) Corrected? person and organization Yes No 2 Enter the amount of tax incurred by organization managers or disqualified persons during the year under section $ 3 Enter the amount of tax, if any, on line 2, above, reimbursed by the organization $ MULLULLM Loans to and / or From Interested Persons. Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26, or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22 (a) Name of (b) Relationship (c) (d) Loan to (e)original (f)balance (g) In (h) (i)written interested with organization Purpose of or from the principal due default? Approved agreement? person loan organization? amount by board or committee? To From Yes No Yes No Yes No Total lk^ $ I I I Grants or Assistance Benefiting Interested Persons. Cmmrilete if the nrnan17atinn answerer) "Yes" on Form 99O Part TV Iine 27 (a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance For Paperwork Reduction Act Noticee see the Instructions for Form 990 or 990 -EZ. Cat No 50056A Schedule L (Form 990 or EZ) 2014

167 Schedule L (Form 990 or 990-EZ) 2014 Page 2 Business Transactions Involving Interested Persons. Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c. (a) Name of interested person ( b) Relationship ( c) Amount of ( d) Description of transaction (e) Sharing between interested transaction of person and the organization's organization revenues? (1) JEFFREY PARGAMENT ESQ TRUSTEE 355,023 LEGAL SERVICES No (2) DREWRY J WHITE MD TRUSTEE 661,753 EMERGENCY DEPARTMENT No SERVICES Yes No Supplemental Information Provide additional information for responses to questions on Schedule L (see instructions) Return Reference I Explanation Schedule L (Form 990 or 990-EZ) 2014

168 efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: SCHEDULE 0 (Form 990 or 990-EZ) Department of the Treasury Internal Revenue Service Supplemental Information to Form 990 or 990-EZ OMB No Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information. Open 1- Attach to Form 990 or 990-EZ. Inspection 1- Information about Schedule 0 (Form 990 or EZ) and its instructions is at / form990. Name of the organization I Employer identification number ADVENTIST HEALTHCARE INC

169 Return Reference Explanation FORM 990, PART III, IN 2014, WASHINGTON ADVENTIST HOSPITAL AND COMMUNITY CLINIC, INC FORGED AN INNOVATIVE LINE 4A, PROGRAM PAR TNERSHIP AND OPENED A NEW CLINIC ON THE HOSPITAL'S CAMPUS INTENDED TO IMPROVE SERVICE ACCESS TO PR IMARY AND PREVENTIVE CARE FOR UNINSURED AND UNDER-INSURED PATIENTS THE ACCOMPLISHMENTS, PARTNERSHIP MAKES IT POSSIBLE TO SPECIFICALLY HELP, THROUGH DISCHARGE AND TRANSITION CONTINUED PLANNING, UNDERSERVED PATIENTS AT HIGH RISK OF HOSPITAL READMISSION IN ADDITION TO PROVIDING SERVICES TO THOSE M OST IN NEED, ADVENTIST HEALTHCARE ALSO PROVIDES SPECIALIZED SERVICES SUCH AS THE SHADY GRO VE MEDICAL CENTER FORENSIC MEDICAL UNIT THIS UNIT, WHICH IS THE ONLY ONE IN MONTGOMERY CO UNTY, PROVIDES FORENSIC EVIDENCE COLLECTION AND SPECIALIZED MEDICAL CARE TO WOMEN, MEN AND CHILDREN WHO ARE VICTIMS OF SEXUAL ASSAULT AND ABUSE SHADY GROVE MEDICAL CENTER AND WASH INGTON ADVENTIST HOSPITAL ARE ALSO ACTIVE PARTICIPANTS IN MONTGOMERY COUNTY'S MATERNITY PA RTNERSHIP PROGRAM, WHICH PROVIDES PRENATAL CARE AND MATERNITY SERVICES TO LOW-INCOME, UNIN SURED PREGNANT WOMEN FOR THE PAST EIGHT YEARS, THE ADVENTIST HEALTHCARE GERMANTOWN EMERGENCY CENTER IN GERMANTOWN, MARYLAND, HAS BROUGHT VITAL EMERGENCY SERVICES TO A FAST-GROWING COMMUNITY THAT HAD TO BATTLE TRAFFIC AND A 30- MILE SPAN ALONG FROM ROCKVILLE TO FREDERICK WITHOUT A HOSPITAL THE EMERGENCY CENTER'S MEDICAL CAMPUS ALSO HAS A PRIMARY CARE C LINIC FOR UNINSURED RESIDENTS, A PRENATAL CLINIC FOR LOW-INCOME WOMEN, OUTPATIENT RADIOLOG Y SERVICES AND PHYSICIAN OFFICES SINCE IT HAS OPENED, THE CENTER HAS TREATED AN AVERAGE 0 F 35,000 EMERGENCY PATIENTS EACH YEAR OUR GERMANTOWN SERVICES ALSO FEATURE THE SHADY GROV E ADVENTIST RADIATION ONCOLOGY CENTER (LEGALLY KNOWN AS ADVENTIST CANCER CARE, LLC) AT GER MANTOWN ON SENECA MEADOWS PARKWAY RADIATION ONCOLOGY IS AN INTEGRAL CONTRIBUTOR TO THE OV ERALL CARE OF 60-65% OF PATIENTS WITH CANCER THROUGHOUT THEIR CONTINUUM OF CARE EVALUATIO NS OF PATIENTS' CONDITION ARE OFFERED AT LEAST WEEKLY, WITH HIGHLY TRAINED STAFF AVAILABLE 24/7 THE AMERICAN COLLEGE OF RADIOLOGY (ACR) HAS AWARDED RADIATION ONCOLOGY ACCREDITATIO N TO THE CENTER PATIENTS WON'T FIND THIS LEVEL OF CARE IN RADIATION THERAPY AT MOST FACIL ITIES, ONLY 15 PERCENT OF CENTERS ARE ACR ACCREDITED 3 PROMOTE HEALTH EQUITY AND WELLNES S COMMUNITIES SERVED BY ADVENTIST HEALTHCARE THRIVE IN A CULTURE OF WELLNESS AND ENJOY ACC ESS TO AND THE BENEFITS OF HIGH QUALITY, EQUITABLE HEALTHCARE THAT PROMOTES PHYSICAL, MENT AL AND SPIRITUAL WELLBEING TO REALIZE OUR VISION, THE CENTER FOR HEALTH EQUITY & WELLNESS ENSURES THE DELIVERY OF POPULATION-BASED CARE AND PROMOTION OF HEALTH CARE EQUITY IN THE COMMUNITIES SERVED BY ADVENTIST HEALTHCARE WE ACCOMPLISH OUR MISSION BY PARTNERING WITH C OMMUNITY MEMBERS AND ORGANIZATIONS TO IMPLEMENT HEALTH EQUITY AND COMMUNITY WELLNESS APPRO ACHES THAT IMPROVE POPULATION HEALTH IN 2014, WE PROVIDED MORE THAN 130,000 ENCOUNTERS IN THE PROMOTION OF COMMUNITY HEALTH AND WELLNESS CENTER FOR HEALTH EQUITY AND WELLNESS - A REAS OF EXPERTISE INCLUDE > CULTURAL COMPETENCE TRAINING FOR HEALTH PROFESSIONALS, > COMM UNITY OUTREACH THROUGH HEALTH SCREENINGS AND EDUCATION, > INTERPRETER TRAINING FOR QUALIFI ED BILINGUAL STAFF, > ORGANIZATIONAL HEALTH EQUITY ASSESSMENT AND STRATEGIC PLANNING, > DEVELOPMENT AND IMPLEMENTATION OF COMMUNITY HEALTH NEEDS ASSESSMENTS, > COMMUNITY BENEFIT RE PORTING, > PROGRAM DEVELOPMENT AND RESEARCH, ALIGNING THESE AREAS ALLOWS ADVENTIST HEALTHC ARE TO ENHANCE ITS POSITION IN THE REGION AND NATIONALLY AS THE LEADER IN PROVIDING POPULA TION-BASED AND EQUITABLE CARE THROUGHOUT THE CARE CONTINUUM, FROM BIRTH TO DEATH, FROM INPATIENT TO OUTPATIENT IN ADDITION, THE CENTER FOR HEALTH EQUITY & WELLNESS IS A CATALYST F OR CONNECTING OUR HOSPITALS, URGENT CARE SERVICES, HOME CARE, MEDICAID HEALTH PLAN, PHYSIC IAN PRACTICES AND OTHER SERVICES TO ALL OUR COMMUNITIES OUR PROGRAMS ARE DESIGNED TO NOT ONLY PROMOTE ADVENTIST HEALTHCARE AS A HIGH-QUALITY, HEALTH CARE PROVIDER TO THOSE WE SERV E, BUT TO HELP ADVENTIST HEALTHCARE BECOME A PROVIDER OF CHOICE FOR RESIDENTS IN THE REGIO N THE CENTER FOR HEALTH EQUITY & WELLNESS BRINGS TOGETHER THE ADVENTIST HEALTHCARE CENTER ON HEALTH DISPARITIES AND THE ADVENTIST HEALTHCARE HEALTH AND WELLNESS DEPARTMENT THE CE NTER ON HEALTH DISPARITIES WAS ESTABLISHED IN 2007 TO HELP ACHIEVE HEALTH EQUITY IN THE CO MMUNITIES SERVED BY ADVENTIST HEALTHCARE BY RAISING COMMUNITY AWARENESS, IMPROVING CAPACI TY, AND DEVELOPING SOLUTIONS TO ELIMINATE LOCAL DISPARITIES IN HEALTH CARE, THE CENTER ON HEALTH DISPARITIES HAS WORKED TO IMPROVE ACCESS TO QUALITY HEALTH CARE, ESPECIALLY FOR MIN ORITIES, WOMEN, AND PEOPLE WHO HAVE LANGUAGE BARRIERS OR OTHER COMMUNICATION NEEDS THE HE ALTH AND WELLNESS DEPARTMENT HAS LONG WORKED WITH AHC HEALTH PROGRAMS, SUCH AS CARDIOVASCU LAR, DIABETES, CANCER, AND MATERNAL AND CHILD HEALTH, TO RAISE AWARENESS OF HEALTH ISSUES, TO SCREEN FOR VARIOUS CONDITIONS, AND TO OFFER EDUCATIONAL AND SUPPORT PROGRAMS TO COMMUN ITY MEMBERS THE CENTER FOR HEALTH EQUITY & WELLNE

170 Return Reference Explanation FORM 990, PART III, SS ACHIEVES ITS MISSION THROUGH THREE TEAMS 1) RESEARCH AND EDUCATION - DESIGNS AND LINE4A, PROGRAM CONDU CTS POPULATION-BASED RESEARCH ON COMMUNITY HEALTH DISPARITIES AND OUTCOMES, SERVICE AND DEVELOPS E FFECTIVE STRATEGIES TO PROMOTE HEALTH EQUITY DEVELOPS AND DELIVERS ACCOMPLISHMENTS, CLASSES AND PROGRAMS T 0 EDUCATE PATIENTS, PROVIDERS AND INSTITUTIONS ON WAYS TO CONTINUED PROMOTE CULTURALLY COMPETENT PRA CTICES AND ACHIEVE BETTER HEALTH OUTCOMES HOLDS HEALTH DISPARITIES CONFERENCES AND PRODUC ES REPORTS ON HEALTH CARE EQUITY ANNUALLY TO TARGET QUALITY IMPROVEMENT EFFORTS > MONITOR HEALTH CARE DISPARITIES AMONG ADVENTIST HEALTHCARE PATIENT POPULATIONS ANNUALLY TO INFORM RESEARCH AND PROGRAMS TO IMPROVE QUALITY, EXPAND ACCESS, AND DELIVER POPULATION-BASED CAR E (EG, PROJECT BEAT IT'), > PLAN AND HOST ANNUAL CONFERENCE ON HEALTH CARE DISPARITIES A ND BEST PRACTICES TO PROMOTE HEALTH EQUITY, > DEVELOP AND DISSEMINATE ADVENTIST HEALTHCARE'S HEALTH EQUITY REPORT ANNUALLY TO INFORM STRATEGIES THAT MEET OUR MISSION > CONDUCT CUL TURAL COMPETENCY, DATA COLLECTION, AND OTHER TRAINING AND CONTINUING EDUCATION CLASSES FOR HEALTH PROFESSIONALS AT LEAST TWICE A YEAR > CONDUCT QUALIFIED BILINGUAL STAFF TRAINING CLASSES 2-4 TIMES A YEAR > PUBLISH QUARTERLY ARTICLES ON CURRENT NEWS AND RESEARCH ON HEA LTH EQUITY FOR EMPLOYEE NEWSLETTERS > SUBMIT RESEARCH TO PEER-REVIEWED JOURNALS FOR PUBLI CATION AS APPLICABLE > DEVELOP LOGIC MODELS WITH MEASUREABLE OUTCOMES TO EVALUATE HEALTH PROMOTION AND EDUCATION PROGRAMS > REPORT PROGRAM OUTCOMES MONTHLY AND WHEN APPLICABLE, S TRATIFY BY RELEVANT CHARACTERISTICS TO ASSESS NEEDS OF AND OUTREACH TO DIFFERENT POPULATIO NS 2) HEALTH PROGRAMS DELIVERY - COLLABORATES WITH ADVENTIST HEALTHCARES SERVICE LINES T 0 SUPPORT EXPANDED HOSPITAL CARE, MARKETING STRATEGIES, LOCAL AND STATE HEALTH DEPARTMENTS, AND PROVIDERS FOR THE UNDERSERVED AS WELL AS HEALTH EDUCATION ACTIVITIES FOR ALL POPULAT IONS AREAS OF EXPERTISE INCLUDE CANCER, CARDIOVASCULAR AND DIABETES CARE, AS WELL AS SMO KING CESSATION AND MATERNAL/CHILD EDUCATION AND SUPPORT > PROVIDE PRE AND POST-NATAL EDU CATION AND SUPPORT TO NEW AND EXPECTANT PARENTS, > COORDINATE CANCER OUTREACH BY PROVIDING COLORECTAL SCREENINGS AND BREAST CANCER SCREENINGS TO LOW-INCOME, UNINSURED WOMEN, WHEN A PPROPRIATE, CASE MANAGE FROM DIAGNOSIS THROUGH TREATMENT AND BEYOND, > PROMOTE CARDIOVASCU LAR HEALTH THROUGH SCREENINGS AND EDUCATION ON PREVENTION AND LIFESTYLE CHANGES, > DELIVER COMPREHENSIVE AND ACCREDITED DIABETES EDUCATION TO THE COMMUNITY, > PROVIDE EDUCATION AND COMPREHENSIVE SUPPORT THROUGH OUR SMOKING CESSATION PROGRAM THAT INCLUDES BEDSIDE COUNSEL ING, INDIVIDUALIZED NICOTINE REPLACEMENT THERAPY AND FOLLOW-UP CALLS POST-DISCHARGE

171 Return Reference Explanation, FORM 990, PART III, 3) COMMUNITY HEALTH AND OUTREACH - COLLABORATES WITH ADVENTIST HEALTHCARES HOSPITAL LINE4A, PROGRAM LEADERSHIP TO PROVIDE COMMUNITY OUTREACH AND HEALTH EDUCATION FOR SENIORS, ADULTS, TEENS AND SERVICE FAMILIES DEVELOPS AND IMPLEMENTS RECOMMENDATIONS FROM COMMUNITY HEALTH NEEDS ASSESSMENT TO ACCOMPLISHMENTS, IMPROVE HEALTH OUTCOMES PARTNERS WITH ACADEMIC INSTITUTIONS TO PROVIDE MEANINGFUL INTERNSHIP CONTINUED 2 EXPERIENCES TO HELP RECRUIT AND DEVELOP FUTURE HEALTH CARE PROFESSIONALS COORDINATES LANGUAGE ACCESS POLICIES, PROGRAMS AND SERVICES TO MEET THE COMMUNICATION NEEDS OF DEAF AND HARD-OF-HEARING PATIENTS AND PATIENTS WITH LIMITED ENGLISH PROFICIENCY COORDINATES COMMUNITY DONATIONS AND SPONSORSHIPS THROUGH THE ADVENTIST HEALTHCARES COMMUNITY PARTNERSHIP FUND > OVERSEE LANGUAGE ACCESS SERVICES FOR ADVENTIST HEALTHCARE (EG, QUALIFIED BILINGUAL STAFF, INTERPRETATION AND TRANSLATION VENDORS), > DEVELOP HOSPITAL AND ORGANIZATIONAL POLICIES AND PROCEDURES RELATED TO PROVISION OF CULTURALLY AND LINGUISTICALLY COMPETENT CARE, AND TRAIN PROVIDERS/STAFF ACCORDINGLY, > RESEARCH, ANALYZE AND WRITE COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNAS) FOR EACH HOSPITAL AND FACILITATE THE DEVELOPMENT, IMPLEMENTATION, AND EVALUATION OF CORRESPONDING STRATEGIC PLANS, > PROVIDE HEALTH EDUCATION ON VARIOUS TOPICS INCLUDING NUTRITION, EXERCISE, MATERNAL/CHILD HEALTH, SAFETY, AND COLD/FLU PREVENTION, > CONDUCT CPR CLASSES (INFANT AND ADULT), BABYSITTING CLASSES AND SIBLING CLASSES, > PROVIDE TOBACCO CESSATION COUNSELING, > PROVIDE A VARIETY OF HEALTH SCREENINGS (EG, BLOOD PRESSURE, BODY COMPOSITION, BONE DENSITY, ETC), > COORDINATE FLU SHOT CLINICS IN A VARIETY OF COMMUNITY LOCATIONS, > ADMINISTER COMMUNITY PARTNERSHIP FUND DONATIONS, > BUILD RELATIONSHIPS WITH A WIDE RANGE OF COMMUNITY ORGANIZATIONS (EG SENIOR CENTERS, FAITH-BASED ORGANIZATIONS, COMMUNITY CENTERS, LOW-INCOME HOUSING COMPLEXES, ETC)